Cole, Gary

Cole, Gary was paid $20K by Medicaid between Apr 2018 and Mar 2023, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 91% of everything it billed.

33Billing provider infoCOLE, GARY
PLYMOUTH, MA 02360

33aNPI1922077023assigned 03/14/2006

33bProvider typeSurgery Physician

28Total paid$20K

24GClaims266

24DCodes billed2

24AFirst – last monthApr 2018 – Mar 2023

Compared with peers

Next to other Surgery Physician providers in Massachusetts

Rank by total paid#25 of 76

Median peer was paid$6K

This provider vs. median3.5×

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	60	$4K
2019	80	$7K
2020	13	$561.12
2021	12	$993.96
2022	55	$4K
2023	46	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	91%	226	216	$19K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.8%	40	39	$2K

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.