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

Cogent Medical Care PC

Cogent Medical Care PC was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.

33Billing provider infoCOGENT MEDICAL CARE PC
EAST PATCHOGUE, NY 11772
33aNPI1912941238assigned 06/16/2006
33bProvider typeNurse Practitioner
28Total paid$1.09M
24GClaims24,156
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nurse Practitioner providers in New York

Rank by total paid#6 of 346
Median peer was paid$1K
This provider vs. median762×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
2018687$13K
20191,099$42K
20203,939$192K
20215,545$273K
20224,495$204K
20235,530$249K
2024incomplete2,861$119K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 44% 10,687 4,375 $482K
99223 Prolong inpt eval add15 m 25% 3,471 3,377 $268K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 6,428 2,654 $193K
99239 Hospital discharge day management, more than 30 minutes 9.6% 2,529 2,440 $105K
99222 Initial hospital care, per day, moderate complexity 3.3% 653 647 $36K
99220 <1% 80 77 $7K
99308 Subsequent nursing facility care, per day, straightforward <1% 42 12 $860.40
99238 Hospital discharge day management, 30 minutes or less <1% 37 37 $822.21
99217 <1% 25 24 $339.71
99080 0% 204 44 $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.

From NPPES

Who's on the registration

Authorized officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.