Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vernon Bowman (NPI 1053311068)

Field	Value
Entity Type	Individual
Organization	Vernon Bowman
Address	146 Hwy 32-2a
City	Ashdown
State	AR
ZIP	71822
Taxonomy	Family Medicine Physician
NPI Enumerated	August 1, 2005

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare operation: Total Medicare revenue is $1.6M while Total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid claims on file means payer-mix analysis should treat this profile as dominated by Medicare reimbursements and beneficiary populations tied to that program.

Revenue is highly concentrated in a small set of office/home E/M services: the precomputed top three Medicare codes account for 68.7% of Medicare revenue, driven by 99214 ($557.1K, 34.1% of Medicare revenue), 99349 ($308.1K, 18.9%), and 99350 ($256.5K, 15.7%). This concentration indicates the practice derives most of its income from a narrow set of evaluation-and-management services rather than a broad mix of procedures or ancillary testing.

The practice’s code mix and descriptions indicate a clear operational focus on home-based primary care and home health oversight: high-revenue home/residence visit codes (99349, 99350, 99345, 99344) together with home health supervision and certification codes (G0181, G0179, G0180) and prolonged-home E/M units (G0318) point to a business model that delivers frequent in-home evaluations and care-plan management. This suggests service-line capacity for travel-intensive, longitudinal care in patients’ residences rather than a typical office-only primary care clinic.

Volume metrics reinforce the home-based care specialty: 99214 appears with 7.6K claims, while home visit claims are also large (99349 at 3.3K claims and 99350 at 1.9K claims), signaling sustained, high-throughput delivery of both in-office and in-home evaluation-and-management encounters. These claim counts, paired with the revenue figures, imply operational scale and staff/workflow built to support frequent visits.

On competitive standing the provider ranks as a national outlier for several core codes: 99214 ranks #4 of 479517 providers nationally (100th percentile; extreme outlier), 99349 ranks #24 of 14284 (100th percentile; extreme outlier), and 99350 ranks #43 of 7304 (99th percentile; extreme outlier). Those rankings indicate this provider operates at volumes far above typical peers for these E/M services and is a dominant national-volume performer for key revenue-driving codes.

Several home-care related administration and prolonged-service codes are also statistical outliers, underscoring the operational emphasis on home health coordination: G0318 (3.6K claims, $82.6K; ranks #6 of 946 providers nationally, 99th percentile; extreme outlier), G0181 (2K claims, $154K; ranks #31 of 1990, 98th percentile; notably above typical national volume), and G0179 (583 claims, $18.1K; ranks #59 of 6595, 99th percentile; extreme outlier). These patterns emphasize repeated involvement in home health plan development, prolonged home E/M time, and certification/re-certification activities.

Ancillary procedures and tests contribute only small shares of revenue compared with core E/M services: examples include J3301 (1.5K claims, $1 avg paid/claim, $1.5K revenue) and 96372 (931 claims, $9 avg paid/claim, $8.4K revenue), which together represent marginal revenue relative to primary E/M lines such as 99214 and the home visit codes. This split suggests the business model prioritizes visit-based reimbursement over procedural or supply-driven revenue streams.

The provider’s NPI was enumerated 2005-08-01 (~21 years ago), indicating long tenure in the Medicare program. When combined with the sustained high volumes and concentrated code mix, the tenure supports an interpretation of an established, scaled home-based primary care operation that has consistently billed Medicare for both office and extensive in-home services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

47 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…	7,630	$70	$557.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,280	$90	$308.1K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	1,890	$140	$256.5K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	1,970	$80	$154K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,100	$110	$116.6K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	3,590	$20	$82.6K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	200	$150	$30.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	$120	$19.7K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	580	$30	$18.1K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	150	$100	$15.3K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Vernon Bowman — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	1	30	70	$120	$31.4K
99309	172	200	160	$70	$23.2K
G0318	1	10	100	$20	$21.6K
99214	1	4,300	130	$70	$18.8K
99349	1	60	80	$80	$16.3K
99308	114	200	130	$50	$12.9K
G0181	1	20	30	$80	$11.5K
G0439	239	1,060	80	$90	$10.1K
99213	745	4,180	100	$50	$9.6K
99215	3	870	30	$110	$8.5K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Balagopalan Nair	AR	Hematology & Oncology Physician	$4.1M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Kirtan Koticha	LA	Hematology & Oncology Physician	$3.1M	$0
Rochelle Robicheaux Metoyer	LA	Rheumatology Physician	$2.9M	$0
Jonathan Tzu	TX	Ophthalmology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel C. King Md PA	AR	Pediatrics Physician	$0	$1.6M
James Oglesby	AR	Family Medicine Physician	$41.5K	$0
Brittny Mills	AR	Nurse Practitioner	$25.8K	$0
Brett Butler	AR	Adult Medicine Physician	$17.5K	$0

Vernon Bowman — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References