Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Cohen, Alison

Cohen, Alison was paid $272K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoCOHEN, ALISON
NASHVILLE, TN 37232
33aNPI1881700789assigned 08/22/2006
28Total paid$272K
24GClaims4,763
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#65 of 687
Median peer was paid$15K
This provider vs. median19×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,384$78K
20191,937$111K
20201,442$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 3,004 2,678 $153K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32% 1,178 1,069 $88K
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 3.9% 136 120 $11K
69210 3.5% 311 187 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.1% 76 72 $8K
99443 <1% 19 13 $1K
99442 <1% 26 19 $1K
69200 <1% 13 12 $768.74

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.