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

Cohen, Michel

Cohen, Michel was paid $848K by Medicaid between May 2019 and Oct 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoCOHEN, MICHEL
NEW YORK, NY 10007
33aNPI1992776439assigned 02/01/2006
28Total paid$848K
24GClaims19,726
24DCodes billed41
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#41 of 161
Median peer was paid$100K
This provider vs. median8.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
2019945$31K
20203,109$134K
20212,862$125K
20225,961$246K
20235,394$244K
2024incomplete1,455$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 4,512 4,175 $337K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 3,620 3,569 $121K
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 14% 990 952 $119K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 1,017 1,017 $91K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.0% 737 729 $60K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.6% 520 520 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 110 110 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 168 165 $9K
92587 <1% 771 770 $8K
91321 <1% 57 57 $7K
0082A <1% 104 104 $4K
0081A <1% 109 108 $4K
29 more codes
99050 <1% 387 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 165 $3K
99173 <1% 1,062 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 286 $2K
99051 <1% 252 $2K
90480 <1% 75 $2K
90461 <1% 155 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 125 $2K
94760 <1% 1,168 $1K
0072A <1% 58 $1K
0071A <1% 61 $1K
83655 <1% 150 $1K
99177 <1% 164 $530.48
0083A <1% 12 $505.64
0154A <1% 13 $467.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 89 $462.04
96160 <1% 211 $296.38
85018 <1% 165 $285.12
90686 <1% 487 $252.99
36415 Collection of venous blood by venipuncture <1% 25 $39.78
36416 <1% 805 $23.86
90744 0% 31 $0.00
99000 0% 528 $0.00
90697 0% 30 $0.00
90698 0% 30 $0.00
90680 0% 16 $0.00
99072 0% 411 $0.00
90670 0% 36 $0.00
90633 0% 14 $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.