Cooley, James

Cooley, James was paid $26K by Medicaid between Apr 2018 and Jun 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoCOOLEY, JAMES
WELLESLEY, MA 02481

33aNPI1851377659assigned 12/22/2005

33bProvider typePediatrics Physician

28Total paid$26K

24GClaims242

24DCodes billed4

24AFirst – last monthApr 2018 – Jun 2019

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#618 of 1,273

Median peer was paid$24K

This provider vs. median1.1×

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	177	$23K
2019	65	$4K

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	85%	189	181	$22K
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	11%	15	15	$3K
99051		2.4%	26	25	$626.56
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	12	12	$389.76

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.