Cohen, Michael
Cohen, Michael was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.
33Billing provider infoCOHEN, MICHAEL
STAFFORD, VA 22556
STAFFORD, VA 22556
33aNPI1891783551assigned 10/07/2005
33bProvider typeSpecialist
28Total paid$109K
24GClaims2,361
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#85 of 231
Median peer was paid$47K
This provider vs. median2.3×
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 | 274 | $9K | |
| 2019 | 317 | $11K | |
| 2020 | 305 | $13K | |
| 2021 | 333 | $17K | |
| 2022 | 390 | $21K | |
| 2023 | 412 | $23K | |
| 2024incomplete | 330 | $16K |
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 | 97% | 2,336 | 2,101 | $107K |
| 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 | 2.7% | 25 | 24 | $3K |
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.