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

Cohen, Theodore

Cohen, Theodore was paid $56K by Medicaid between Sep 2018 and Jun 2021, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoCOHEN, THEODORE
MIAMI, FL 33136
33aNPI1922340397assigned 03/22/2013
28Total paid$56K
24GClaims1,411
24DCodes billed4
24AFirst – last monthSep 2018 – Jun 2021
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Florida

Rank by total paid#24 of 69
Median peer was paid$14K
This provider vs. median4.0×

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$4.0K$6.0K2018201920202021202220232024
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
201887$3K
2019365$14K
2020632$23K
2021327$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 74% 1,056 867 $42K
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 22% 206 170 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.9% 58 58 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1.3% 91 53 $748.98

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.