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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Cox
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    Justin Cox — Billing Profile & Reimbursement Data

    NPI 1285006635 · Cookeville, TN · Surgical Physician Assistant

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    Justin Cox is a surgical physician assistant provider located in Cookeville, Tennessee. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJustin Cox
    Address203 N Cedar Ave
    CityCookeville
    StateTN
    ZIP38501
    TaxonomySurgical Physician Assistant
    NPI EnumeratedOctober 26, 2015

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

    Payer SourceTotal Paid
    Medicare$64.4K
    Medicaid$0

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…30$470$15.4K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.20$430$8.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.240$40$8.6K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.90$100$8.6K
    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…170$40$7.1K
    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…70$60$3.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40$60$2.5K
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…40$70$2.4K
    11404The provider excises a noncancerous lesion, excluding a skin tag, of 3.1 to 4.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.20$120$2.1K
    11312The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.20$80$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,78211,370120$80$16.6K
    1404043020$460$10.2K
    1402021020$490$10.2K
    1104245250100$60$9.1K
    49650274010$480$8.7K
    992133,04711,03080$50$8K
    4756312020$400$7.2K
    170044625040$100$6.5K
    1131231030$90$3.5K
    11045526090$20$3.5K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Justin Cox, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian GerndtTNSpecialist$402.5K$0
    Jeffrey MccarterTNSpecialist$207.6K$0
    Jeffrey MooreTNSpecialist$191K$0
    Scott CopelandTNSpecialist$166.6K$0
    Ashley DodsonTNNurse Practitioner$70.9K$0
    Charles HuddlestonTNSurgery Physician$50.7K$0
    Eric WallaceTNSurgery Physician$24.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Caregivers Of CookevilleTNHome Health Agency$0$49.6M
    Cookeville Regional Medical CenterTNGeneral Acute Care Hospital$0$17.1M
    Senior Life Management LLCTNIn Home Supportive Care Agency$0$13.3M
    Putnam County PediatricsTNPediatrics Physician$0$8.4M
    Cavity Commando's Dentistry For Kids PLLCTNPediatric Dentistry$0$7.6M
    Tennessee Pediatric & Adolescent CenterTNLegal Medicine$0$7M
    County Of PutnamTNLand Ambulance$1.7M$4M
    Womens Health Services Of The Cumberlands, PLLCTNObstetrics & Gynecology Physician$0$5.6M
    Cookeville Regional Dental IncTNDentist$0$5.4M
    Cookeville Pediatric Associates, PLLCTNPediatrics Physician$0$5M

    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. Tennessee Distribution
    Justin Cox — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee