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    OpenPayerNPI Medicare & MedicaidBrian Fowler
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    Brian Fowler — Billing Profile & Reimbursement Data

    NPI 1093987893 · Memphis, TN · Ophthalmology Physician

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    Brian Fowler is a ophthalmology physician provider located in Memphis, Tennessee. This profile covers 19 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrian Fowler
    Address1068 Cresthaven Rd Ste 400
    CityMemphis
    StateTN
    ZIP38119
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 1, 2008

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

    Payer SourceTotal Paid
    Medicare$144.4K
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit6,690$10$33.4K
    99214The 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…330$90$29K
    99203The provider sees a new 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 provider…190$70$13.8K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$600$12.1K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.100$120$11.6K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.20$600$8.9K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…20$540$8.1K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…20$370$5.9K
    67924During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…10$350$4.9K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.20$210$4.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058542707,500$1$47K
    15823486050$490$33K
    67904324040$510$30.2K
    992142,42611,370120$80$16.6K
    15260254020$670$14.6K
    9921310,38911,03080$50$8K
    6792451020$410$7.8K
    67840203030$170$7K
    6461222050$110$6.8K
    6796621020$420$6.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    St Jude Childrens Research Hospital IncTNChildren's Hospital$0$5.1M
    Salar RafieetaryTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    Ashley HatchettTNFamily Nurse Practitioner$1.7M$0
    Pawan RawalTNNeurology Physician$1.3M$0
    Steve CharlesTNRetina Specialist (Ophthalmology) Physician$769.6K$0
    Tulio BertoriniTNNeurology Physician$733K$0
    Rami KhouzamSCInterventional Cardiology Physician$292.1K$0
    Kenneth WeissTNSports Medicine (Orthopaedic Surgery) Physician$275.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amisub (sfh), Inc.TNGeneral Acute Care Hospital$0$20.2M
    Maxim Healthcare Services, Inc.TNHome Health Agency$0$18.5M
    Mid-south Maternal Fetal Medicine PCTNMaternal & Fetal Medicine Physician$0$8.1M
    Elect Home Care, LLCTNIn Home Supportive Care Agency$0$7.6M
    First Choice Community Services, IncTNIn Home Supportive Care Agency$0$7.5M
    Tennessee Emergency Physicians, PLLCTNEmergency Medicine Physician$0$6.3M
    Dar Salud Care PLLCTNFamily Medicine Physician$0$5.2M
    Silver Angels Of Tennessee - Shelby, LLCTNIn Home Supportive Care Agency$0$5.1M
    Abundant Care LLCTNIn Home Supportive Care Agency$0$4.1M
    Obstetrics And Medicine PLLCTNObstetrics Physician$0$4M

    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. Tennessee Distribution
    Brian Fowler — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee