Physician
Cole, Carla
Cole, Carla was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoCOLE, CARLA
GARLAND, TX 75042
GARLAND, TX 75042
33aNPI1932155942assigned 05/25/2006
33bProvider typePediatrics Physician
28Total paid$4.45M
24GClaims195,367
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#97 of 1,136
Median peer was paid$329K
This provider vs. median14×
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 | 128 | $3K | |
| 2019 | 89 | $928.68 | |
| 2020 | 8,780 | $167K | |
| 2021 | 47,260 | $1.02M | |
| 2022 | 56,887 | $1.33M | |
| 2023 | 46,316 | $1.11M | |
| 2024incomplete | 35,907 | $831K |
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 | 28% | 34,327 | 29,004 | $1.26M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 14,354 | 13,230 | $613K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 5,808 | 5,480 | $459K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 5,175 | 4,919 | $389K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 4,050 | 3,883 | $355K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.9% | 25,617 | 12,057 | $353K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 25,154 | 11,988 | $256K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 3,092 | 2,813 | $223K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 13,252 | 12,446 | $180K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 3,202 | 3,098 | $79K |
| 92552 | 1.3% | 4,651 | 4,519 | $59K | |
| 90461 | 1.2% | 8,514 | 5,364 | $52K |
36 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,918 | $38K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 518 | $28K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 445 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,153 | $14K |
| 87807 | <1% | 1,176 | $12K | |
| 83655 | <1% | 1,066 | $10K | |
| 99381 | <1% | 115 | $9K | |
| 96160 | <1% | 4,893 | $7K | |
| 90651 | <1% | 1,539 | $6K | |
| 90670 | <1% | 2,321 | $3K | |
| G8708 | Patient not prescribed antibiotic | <1% | 5,885 | $3K |
| 90710 | <1% | 1,664 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $2K |
| 90620 | <1% | 885 | $2K | |
| 90681 | <1% | 772 | $1K | |
| 99384 | <1% | 14 | $1K | |
| 90734 | <1% | 1,549 | $1K | |
| 90723 | <1% | 1,266 | $642.28 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 37 | $503.55 |
| 90696 | <1% | 302 | $455.00 | |
| 81003 | <1% | 202 | $446.18 | |
| 90647 | <1% | 1,049 | $437.50 | |
| 90633 | <1% | 1,865 | $292.96 | |
| 90686 | <1% | 3,943 | $285.98 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $243.27 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $190.58 |
| 90715 | <1% | 365 | $136.50 | |
| 96161 | <1% | 33 | $38.25 | |
| 90700 | <1% | 288 | $23.45 | |
| 90677 | 0% | 559 | $0.00 | |
| 90698 | 0% | 135 | $0.00 | |
| 90656 | 0% | 392 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 38 | $0.00 |
| 90648 | 0% | 1,069 | $0.00 | |
| 99173 | 0% | 6,581 | $0.00 | |
| 90672 | 0% | 74 | $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.