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NPI 1922045095 · Victoria, TX · Dermatology Physician
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Gary Cox is a dermatology physician provider located in Victoria, Texas. This profile covers 57 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gary Cox |
| Address | 2705 Hospital Dr |
| City | Victoria |
| State | TX |
| ZIP | 77901 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | May 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $192.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
57 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77280 | The 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. | 1,150 | $210 | $237.4K |
| 0394T | N/A | 1,150 | $180 | $204.2K |
| 99213 | The 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… | 2,170 | $60 | $125.8K |
| 11102 | The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. | 920 | $60 | $58K |
| 99214 | The 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… | 670 | $80 | $54.4K |
| J7308 | Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg) | 140 | $300 | $42.2K |
| 13132 | The 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… | 110 | $350 | $38.6K |
| 99212 | The 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,… | 910 | $40 | $33.5K |
| 77290 | Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams… | 90 | $340 | $30.3K |
| 13121 | This 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. | 90 | $320 | $28.7K |
Showing 1–10 of 57
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0394T | 2 | 10 | 360 | $180 | $84.9K |
| 77280 | 8 | 190 | 40 | $200 | $41.5K |
| 14040 | 29 | 60 | 20 | $540 | $21.4K |
| 14041 | 54 | 60 | 20 | $640 | $21.3K |
| 13132 | 64 | 200 | 50 | $220 | $19.7K |
| 15260 | 97 | 110 | 20 | $710 | $19.2K |
| 14060 | 43 | 120 | 20 | $560 | $18.3K |
| 99214 | 2,043 | 32,500 | 110 | $80 | $17.6K |
| J7308 | 5 | 80 | 30 | $300 | $15.2K |
| 13121 | 39 | 210 | 30 | $230 | $12.1K |
Showing 1–10 of 57
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,290 | $60 | $76.2K |
| 99213 | The 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… | 1,460 | $40 | $59.9K |
| 99242 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the… | 430 | $80 | $34K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 220 | $110 | $23K |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 2,358 | 6,040 | 710 | $40 | $232.8K |
| 99214 | The 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… | 2,006 | 5,810 | 540 | $50 | $155.5K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 90 | 180 | 220 | $90 | $129.2K |
| 99242 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the… | 15 | 60 | 70 | $70 | $31.4K |
Other providers in the same ZIP code as Gary Cox, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Region Iii Education Service Center | TX | Early Intervention Provider Agency | $0 | $16.7M |
| Noe Olvera | TX | Rheumatology Physician | $1.5M | $0 |
| Scott Stein | TX | Rheumatology Physician | $1.4M | $0 |
| Dakshesh-kumar Parikh | TX | Cardiovascular Disease Physician | $793.6K | $0 |
| Ajay Gaalla | TX | Cardiovascular Disease Physician | $739.3K | $0 |
| Harish Chandna | TX | Cardiovascular Disease Physician | $733.3K | $0 |
| John Mikus | TX | Diagnostic Radiology Physician | $440.5K | $0 |
| Frank Parma | TX | Family Medicine Physician | $429.6K | $0 |
| Santiago Marroquin | TX | Diagnostic Radiology Physician | $427.5K | $0 |
| David Tharp | TX | Diagnostic Radiology Physician | $411.3K | $0 |
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