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    OpenPayerNPI Medicare & MedicaidEdward Cohen
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    Edward Cohen — Billing Profile & Reimbursement Data

    NPI 1255338760 · Gulfport, MS · Podiatrist

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    Edward Cohen is a podiatrist provider located in Gulfport, Mississippi. This profile covers 10 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdward Cohen
    Address12056 Mobile Ave
    CityGulfport
    StateMS
    ZIP39503
    TaxonomyPodiatrist
    NPI EnumeratedJune 30, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$263.6K
    Medicare$49.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…340$30$11.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…150$70$10.6K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…150$40$6.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…170$40$6K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.60$90$5.1K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral60$50$3.3K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.150$20$2.8K
    73650In this diagnostic procedure, the provider takes a minimum of two X–ray views of the calcaneus (heel bone) to assess injury, fracture, arthritis, tumor, or congenital abnormality.80$20$1.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$60$1.4K
    73600In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle.50$20$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992133,4334,000100$50$10.3K
    1175042030$100$4.1K
    992031011,48030$60$3.5K
    9921210096030$30$2.4K
    939222711030$40$2.2K
    2060016030$30$1.5K
    2060526020$30$1.2K
    7362067030$20$830
    7365011030$20$550
    7360064020$20$530

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…1,360$40$50.2K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…3,300$10$39.6K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…2,460$20$36.9K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.3,290$10$32.9K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…730$30$24.7K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.330$60$18.3K
    L4396Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent,…330$60$18.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…730$20$11.7K
    73650In this diagnostic procedure, the provider takes a minimum of two X–ray views of the calcaneus (heel bone) to assess injury, fracture, arthritis, tumor, or congenital abnormality.950$10$10.5K
    L1971Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment70$140$8.8K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…213670230$60$89.5K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.210320$70$38.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…123680100$50$34.8K
    73600In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle.410270$40$24.9K
    L4396Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent,…110330$50$18.2K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…1101,220$10$16.5K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…1730070$50$15.9K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.22040$30$15.7K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110100$10$10.5K
    L1971Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment11070$140$8.8K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Edward Cohen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Ms Planning And Development DistrictMSCase Management Agency$0$63.1M
    Singing River GulfportMSGeneral Acute Care Hospital$0$24.9M
    Helping Hands LLC (respite Care)MSIn Home Supportive Care Agency$0$10.3M
    Caspoint Care Inc.MSHome Health Agency$0$5.2M
    South Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$4.8M
    Keystone Medical Services Of Gulfport, Inc.MSEmergency Medicine Physician$0$4.5M
    Eric HydeMSPediatric Dentistry$0$4.1M
    Kare-in-home Health Services, Inc.MSHome Health Agency$0$2.5M
    Orange Grove Urgent CareMSUrgent Care Clinic/Center$0$2M
    Memorial Hospital At GulfportMSPediatrics Physician$0$1.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Edward Cohen — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Edward Cohen — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi