Physician

Charles Randall Cooper, MD

According to 2025 Medicare claims, Charles Cooper, MD (NPI: 1235557695) practices colorectal surgery (formerly proctology) in the Newark, NJ market, with the plurality of this provider's patient population coming from Essex, NJ. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP PA (NPI: 1942254347; TIN: 223487984) and primary practice location at 07601-1914. Cooper is affiliated with the Summit Health ACO (ACO ID: A5049), participating under the MSSP model.

Cooper's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 175 traditional Medicare patients, billed 473 HCPCS/CPT codes, and received $72,134 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 220 prescription claims across 117 beneficiaries totaling $4,766 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). 2023 DME data shows 11 claims. Open Payments data shows 2 records totaling $296. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $349 to $4,766. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$43K$86K2021 Medicare payment: $12,123 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $63,941 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $85,905 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $72,134 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20213189$12,123
2022149434$63,941
2023206559$85,905
2024175473$72,134

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.4K$4.8K2016 Drug cost: $349 (USD; Tot_Drug_Cst)2020 Drug cost: $1,761 (USD; Tot_Drug_Cst)2021 Drug cost: $2,329 (USD; Tot_Drug_Cst)2022 Drug cost: $4,618 (USD; Tot_Drug_Cst)2023 Drug cost: $4,796 (USD; Tot_Drug_Cst)2024 Drug cost: $4,766 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R11$349
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20204274$1,761
20214687$2,329
202266117$4,618
2023125210$4,796
2024117220$4,766

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$466$9332023 Medicare payment: $933 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$933
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8484$143
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5171$110
46600Diagnostic exam of anus using an endoscope8389$106
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more2222$97
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4450$79

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates2733$1,584
HydrocortisoneHydrocortisone55973$611
Neomycin SulfateNeomycin Sulfate2024$94
Oxycodone HclOxycodone Hcl26105$75
GabapentinGabapentin18101$50

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$296Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Charles Randall Cooper, MD?

Tedicare shows public-source Medicare data for Charles Randall Cooper, MD (NPI 1235557695), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Charles Randall Cooper, MD have ACO affiliation data?

Charles Randall Cooper, MD is shown with ACO affiliation data for Summit Health ACO (MSSP, ACO ID A5049).

What billing organization is linked to Charles Randall Cooper, MD?

Charles Randall Cooper, MD is linked to SUMMIT MEDICAL GROUP PA (billing NPI 1942254347) in the available physician profile data.

Does Charles Randall Cooper, MD have Open Payments data?

Charles Randall Cooper, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.