Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cooper, Kenya

Cooper, Kenya was paid $14K by Medicaid between Jul 2019 and Aug 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoCOOPER, KENYA
GILBERT, SC 29054
33aNPI1891108775assigned 06/09/2014
28Total paid$14K
24GClaims209
24DCodes billed4
24AFirst – last monthJul 2019 – Aug 2020
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#352 of 696
Median peer was paid$14K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2019196$13K
202013$1K
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 76% 152 141 $11K
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 23% 30 29 $3K
90686 1.1% 14 14 $155.16
36415 Collection of venous blood by venipuncture <1% 13 12 $29.12

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.