Physician
Cooke, Curtis
Cooke, Curtis was paid $289K by Medicaid between Jan 2020 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCOOKE, CURTIS
FRANKLIN, PA 16323
FRANKLIN, PA 16323
33aNPI1841262383assigned 02/07/2006
33bProvider typePediatrics Physician
28Total paid$289K
24GClaims9,328
24DCodes billed27
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#283 of 1,257
Median peer was paid$45K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2020 | 407 | $8K | |
| 2021 | 2,850 | $90K | |
| 2022 | 3,048 | $91K | |
| 2023 | 1,776 | $53K | |
| 2024incomplete | 1,247 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,675 | 2,336 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 29% | 910 | 906 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 487 | 485 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 381 | 379 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 464 | 441 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 49 | 49 | $4K |
| 99188 | 1.1% | 175 | 175 | $3K | |
| 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 | 1.1% | 54 | 48 | $3K |
| 90698 | <1% | 504 | 441 | $2K | |
| 90686 | <1% | 666 | 551 | $2K | |
| 90670 | <1% | 452 | 401 | $2K | |
| 90680 | <1% | 140 | 126 | $440.00 |
15 more codes
| 92551 | <1% | 472 | $395.69 | |
| 99173 | <1% | 619 | $328.53 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 344 | $277.09 |
| 90633 | <1% | 42 | $143.00 | |
| 90677 | <1% | 12 | $132.00 | |
| 85018 | <1% | 95 | $66.41 | |
| 83655 | <1% | 176 | $22.00 | |
| 96160 | <1% | 133 | $14.37 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12 | $2.45 |
| 96161 | 0% | 267 | $0.00 | |
| 96127 | 0% | 65 | $0.00 | |
| 90744 | 0% | 77 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 80061 | Lipid panel | 0% | 30 | $0.00 |
| 90710 | 0% | 15 | $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.