Physician

Justin J. Cohen, MD

According to 2025 Medicare claims, Justin Cohen, MD (NPI: 1700060704) practices urology in the Lake County, IL market, with the plurality of this provider's patient population coming from Lake, IL. This provider's primary affiliated billing organization is UROPARTNERS, LLC (NPI: 1285688218; TIN: 20-1780406) and primary practice location at 60048-5265. Cohen is affiliated with the Northwestern Medicine Physician Network ACO (ACO ID: A2620) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Cohen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,237 traditional Medicare patients, billed 17,068 HCPCS/CPT codes, and received $431,736 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,458 prescription claims across 878 beneficiaries totaling $1,878,778 in drug costs, led by Erleada (Apalutamide). DME data shows 129 claims. Open Payments data shows 122 records totaling $36,052. 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's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $206,455 to $1,878,778. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $918 to $108.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,074	13,042	$386,040
2016	1,067	16,038	$401,526
2017	1,160	14,145	$406,320
2018	1,373	15,288	$482,349
2019	1,276	12,475	$449,636
2020	1,248	13,086	$382,656
2021	1,262	9,696	$386,840
2022	1,348	16,926	$466,698
2023	1,311	21,327	$514,262
2024	1,237	17,068	$431,736

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	485	2,273	$206,455
2016	499	2,257	$255,689
2017	523	2,442	$354,089
2018	627	2,565	$576,378
2019	668	2,883	$544,144
2020	686	3,091	$538,025
2021	729	3,015	$560,027
2022	768	3,095	$667,106
2023	783	3,162	$1,140,411
2024	878	3,458	$1,878,778

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	22	115	$12,200
2016	N/R	121	$17,248
2017	N/R	143	$19,232
2018	N/R	166	$42,535
2019	N/R	126	$32,470
2020	N/R	153	$35,028
2021	N/R	166	$41,407
2022	13	189	$52,080
2023	12	173	$50,402
2024	13	129	$38,676

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	408	$96
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	703	814	$66
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	921	1,202	$12
36415	Insertion of needle into vein for collection of blood sample	353	403	$9
81003	Automated urinalysis test	870	1,249	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Erleada	Apalutamide	62	1,980	$921,551
Xtandi	Enzalutamide	22	710	$310,968
Nubeqa	Darolutamide	12	360	$169,886
Myrbetriq	Mirabegron	143	9,420	$142,789
Gemtesa	Vibegron	87	5,305	$83,881

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	13	52	$20,166
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	25	$17,627
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	27	$619
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	12	$156
A4332	Lubricant, individual sterile packet, each	N	N/R	13	$108

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	120	$36,052	Janssen Biotech, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	2	$75,371	SN Holdings, LLC

Explore More Providers

FAQ

What Medicare data is available for Justin J. Cohen, MD?

Tedicare shows public-source Medicare data for Justin J. Cohen, MD (NPI 1700060704), 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 Justin J. Cohen, MD have ACO affiliation data?

Justin J. Cohen, MD is shown with ACO affiliation data for Northwestern Medicine Physician Network ACO (MSSP, ACO ID A2620) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Justin J. Cohen, MD?

Justin J. Cohen, MD is linked to UROPARTNERS, LLC (billing NPI 1285688218) in the available physician profile data.

Does Justin J. Cohen, MD have Open Payments data?

Justin J. Cohen, MD has 122 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.