Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLinda Cooke
    Ask Trek AI about this page

    Linda Cooke — Billing Profile & Reimbursement Data

    NPI 1679552350 · Hannibal, MO · Dermatology Physician

    Customize your policy alerts

    Sign up for Linda Cooke — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Linda Cooke is a dermatology physician provider located in Hannibal, Missouri. This profile covers 57 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLinda Cooke
    Address163 Medical Dr
    CityHannibal
    StateMO
    ZIP63401
    TaxonomyDermatology Physician
    NPI EnumeratedJanuary 11, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare footprint is concentrated and sizeable: total Medicare revenue is $1.8M while there is no Medicaid billing on file, so the practice is effectively single‑payer in the available data and Medicare drives the business profile. The top three Medicare codes together account for 54.4% of the provider’s Medicare revenue, indicating a heavy reliance on a small set of procedures for the bulk of income.

    The highest‑revenue codes are a mix of radiation therapy planning/guidance and office evaluation services, which suggests the practice provides substantial radiation‑therapy support in addition to dermatologic care. Specifically, 77280 generated $407K (24.2% of Medicare revenue) and G6001 generated $289.9K (17.3%), while 99213 generated $217.3K (12.9%), illustrating revenue drivers across simulation/guidance and routine E/M visits.

    Revenue concentration is pronounced: 77280 ($407K, 24.2%), G6001 ($289.9K, 17.3%), and 99213 ($217.3K, 12.9%) are the top three Medicare codes and together make up 54.4% of Medicare revenue, highlighting dependence on a few high‑impact services rather than a broad, evenly distributed code mix. This concentration elevates the business risk and competitive leverage tied to those specific service lines.

    The provider ranks at or near national extremes on several codes, indicating atypically high volume relative to peers. For example, 77280 ranks #28 of 3348 (99th percentile; extreme outlier) and 99213 ranks #87 of 457151 (100th percentile; extreme outlier), while G6001 ranks #16 of 280 (95th percentile; typical, unremarkable volume); these placements show national‑level dominance on certain procedural buckets but a more conventional standing for some radiation‑guidance peers.

    Procedural dermatology volume is also unusually high across multiple excision and destruction codes, consistent with an operator who performs large numbers of skin procedures. Codes such as 17000 ($73.2K, 4.4%) and 17110 ($72.6K, 4.3%) are 100th‑percentile extreme outliers, and shave/excision codes like 11301 ($32.9K) and 11311 ($32.9K) are likewise extreme outliers, indicating a persistent, high throughput of lesion‑destruction and minor surgical cases.

    Certain code counts imply specialty workflows and throughput that are atypical for a solo dermatology profile: for example, 17003 shows 7K claims for $27.9K and is an extreme outlier, and 77401 (deleted 2026) appears with 2.1K claims and $59.5K (94th percentile; typical, unremarkable), reinforcing that radiation therapy planning and repeat lesion procedures form significant operational volume. These patterns point to high per‑code claim volumes and frequent repeat procedures rather than primarily one‑off, low‑frequency services.

    The provider’s NPI tenure (enumerated 2006-01-11, ~20 years ago) indicates a long‑established practice presence in the market, which can support the sustained high volumes observed across both procedural dermatology and radiation‑therapy related codes. Long tenure combined with high national rankings for multiple codes suggests an entrenched operational model rather than a transient billing pattern.

    The lack of any Medicaid billing on file is notable for network and access considerations: with Medicaid listed as "none below," this provider’s Medicare‑only billing profile implies either minimal Medicaid participation or patient mix concentrated among Medicare and privately insured patients. For payers and analysts, that single‑payer tilt and the high concentration in a few service lines should be considered when assessing referral patterns, network adequacy, and potential capacity for radiation‑therapy and high‑volume dermatologic procedures.

    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.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.2,190$190$407K
    G6001Ultrasonic guidance for placement of radiation therapy fields2,340$120$289.9K
    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…3,750$60$217.3K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…160$470$74.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.2,290$30$73.2K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…1,140$60$72.6K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…220$300$65.2K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.220$290$63K
    77401Deleted effective Jan. 1, 2026.2,130$30$59.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…410$140$58.6K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60011101,020$130$135.6K
    173113760240$400$128.4K
    173123850140$300$48.7K
    88305190290540$30$30.7K
    774278100160$150$26.3K
    77401110740$30$23.6K
    13132106070$190$20.4K
    7728017050$140$19.6K
    77336410150$60$15.1K
    992145,9548,960100$80$13.9K

    Showing 1–10 of 57

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$21.3M
    Hannibal Regional Healthcare System, IncMORural Acute Care Hospital$0$14.5M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Quincy Physicians & Surgeons Clinic, PLLCILClinical Medical Laboratory$1.6M$4.1M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$5.7M
    Hannibal Regional Healthcare System, IncMOMulti-Specialty Clinic/Center$0$4.5M
    Quincy Physicians & Surgeons Clinic, PLLCILAmbulatory Surgical Clinic/Center$2.5M$0
    Abram GeisendorferILOphthalmology Physician$1.8M$116.2K
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark Twain Association For Mental Health, IncMOCommunity/Behavioral Health Agency$0$153.3M
    Boone Supported Living, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$46.5M
    Northeast Independent Living ServicesMOPersonal Care Attendant$0$21.2M
    Riney-walden IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.6M
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$14.4M
    Marion County Services For The Developmentally DisabledMOCase Management Agency$0$6.9M
    Marion County Services, Inc.MODevelopmentally Disabled Services Day Training Agency$0$6.4M
    Marion County AmbulanceMOLand Ambulance$715.4K$4.4M
    Skills Development, Inc.MODevelopmentally Disabled Services Day Training Agency$0$4.3M
    Jackson Group Home LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$3.6M

    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. Missouri Distribution
    Linda Cooke — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri