Coplen, Douglas

Coplen, Douglas was paid $105K by Medicaid between Jan 2018 and Jun 2023, across 7 billing codes. Its largest line is 99243, — 68% of everything it billed.

33Billing provider infoCOPLEN, DOUGLAS
SAINT LOUIS, MO 63110

33aNPI1972529295assigned 07/14/2006

33bProvider typePediatric Urology Physician

28Total paid$105K

24GClaims1,221

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Pediatric Urology Physician providers in Missouri

Rank by total paid#3 of 6

Median peer was paid$57K

This provider vs. median1.8×

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	459	$39K
2019	396	$39K
2020	235	$18K
2021	34	$2K
2022	48	$3K
2023	49	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		68%	668	640	$71K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	218	217	$11K
51741		8.7%	110	110	$9K
76857		8.3%	126	125	$9K
99244	Office or other outpatient consultation, moderate to high complexity	2.7%	17	16	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	28	28	$2K
81000		<1%	54	54	$177.07

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.