Physician
Cohen, Norman
Cohen, Norman was paid $893K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCOHEN, NORMAN
PITTSBURGH, PA 15227
PITTSBURGH, PA 15227
33aNPI1811990492assigned 05/27/2005
33bProvider typePediatrics Physician
28Total paid$893K
24GClaims19,942
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#115 of 1,257
Median peer was paid$45K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 333 | $25K | |
| 2019 | 84 | $7K | |
| 2020 | 329 | $22K | |
| 2021 | 2,497 | $131K | |
| 2022 | 4,940 | $222K | |
| 2023 | 5,690 | $246K | |
| 2024incomplete | 6,069 | $240K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48% | 5,488 | 5,290 | $430K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,855 | 1,817 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 736 | 736 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 533 | 510 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 646 | 646 | $55K |
| 99051 | 5.4% | 1,688 | 1,663 | $48K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 555 | 545 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 345 | 345 | $30K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 427 | 424 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 1,055 | 1,038 | $15K |
| 87428 | 1.6% | 456 | 451 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 631 | 322 | $8K |
31 more codes
| 90686 | <1% | 681 | $3K | |
| 99188 | <1% | 152 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 88 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 28 | $540.40 |
| 92551 | <1% | 726 | $411.36 | |
| 96127 | <1% | 521 | $258.94 | |
| 96160 | <1% | 535 | $229.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 453 | $178.05 |
| 99177 | <1% | 348 | $126.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $120.00 |
| 81002 | <1% | 13 | $47.32 | |
| G9920 | Screening performed and negative | 0% | 401 | $0.00 |
| 90670 | 0% | 168 | $0.00 | |
| 91321 | 0% | 12 | $0.00 | |
| 99173 | 0% | 78 | $0.00 | |
| 90648 | 0% | 212 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90661 | 0% | 106 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 83655 | 0% | 12 | $0.00 | |
| 90680 | 0% | 114 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 187 | $0.00 |
| 90723 | 0% | 109 | $0.00 | |
| 90677 | 0% | 68 | $0.00 | |
| 96161 | 0% | 239 | $0.00 | |
| 90656 | 0% | 75 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 14 | $0.00 |
| 90619 | 0% | 31 | $0.00 | |
| 90651 | 0% | 65 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 90696 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.