Cox, Charles

Cox, Charles was paid $155K by Medicaid between Jan 2018 and Nov 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoCOX, CHARLES
ATHENS, TN 37303

33aNPI1982684361assigned 01/20/2006

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$155K

24GClaims5,196

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Tennessee

Rank by total paid#8 of 16

Median peer was paid$151K

This provider vs. median1.0×

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

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	1,197	$15K
2019	1,573	$38K
2020	2,426	$102K

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%	2,461	2,057	$44K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	20%	235	135	$31K
H0033	Oral medication administration, direct observation	18%	165	89	$28K
H2010	Comprehensive medication services, per 15 minutes	17%	312	153	$27K
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	5.6%	509	463	$9K
80305		3.3%	789	392	$5K
H0049	Alcohol and/or drug screening	2.7%	206	115	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	41	37	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	107	90	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	303	281	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	68	52	$627.97

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.