EDWARD COHEN, M.D.
Urology Physician · LA JOLLA, CA
Individual Active NPI 1093756827
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 308 | 4,561 | $447,132 | $99,274 | $77,056 |
| 2023 | 305 | 8,671 | $505,933 | $114,160 | $82,122 |
| 2022 | 438 | 14,065 | $717,077 | $236,642 | $181,345 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 224 | $66 | $49 |
| 81003 | Automated urinalysis test | 222 | $2 | $2 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 139 | $17 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 126 | $136 | $106 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 118 | $13 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 82 | $98 | $77 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 43 | $51 | $40 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 38 | $269 | $209 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 | $177 | $133 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $119 | $91 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $59 | $45 |
| 76872 | Ultrasound scan of pelvic region through rectum | 12 | $158 | $126 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | G56844 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in California
- NPI 1598158842
- NPI 1487092417
- NPI 1710033246
- NPI 1548292634
- NPI 1073575247
- NPI 1770419582
- NPI 1659011153
- NPI 1366416851
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.