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    OpenPayerNPI Medicare & MedicaidTodd Fowler
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    Todd Fowler — Billing Profile & Reimbursement Data

    NPI 1164468674 · Hixson, TN · Otolaryngology Physician

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    Todd Fowler is a otolaryngology physician provider located in Hixson, Tennessee. This profile covers 14 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
    OrganizationTodd Fowler
    Address1724 Hamill Rd Ste 102
    CityHixson
    StateTN
    ZIP37343
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicare$110.5K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…300$90$25.2K
    99213The 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…370$60$21.6K
    99204The provider sees a new 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 provider…170$110$18.2K
    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…200$70$13.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.70$130$8.8K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$90$6.9K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…220$30$5.5K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…160$20$3.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.110$30$2.7K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.180$10$1.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,75211,370120$80$16.6K
    992131,04411,03080$50$8K
    312314212050$120$7.8K
    992041855,49030$100$5.3K
    315754518050$80$4.8K
    364152,4743,310120$10$3.2K
    99203733,75030$70$3.1K
    925572426080$20$2.5K
    30901122020$100$1.8K
    692105328030$30$1.8K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Diagnostic Imaging, PCTNInternal Medicine Physician$0$29.9M
    Jose Pratts EmanuelliTNDiagnostic Radiology Physician$759.9K$16.3K
    Selcuk TombulTNCardiovascular Disease Physician$734.6K$27K
    Keith LovenTNDermatology Physician$702.1K$0
    Robert ChenTNDermatology Physician$544.5K$103.3K
    Paul FleserTNVascular Surgery Physician$574.4K$0
    Gibran NaddyTNInternal Medicine Physician$545K$28.9K
    Kenneth HomolyaTNPain Medicine (Anesthesiology) Physician$551.9K$0
    Jeffrey PooleTNFoot & Ankle Surgery Podiatrist$473.5K$2.3K
    James GriffithKSMOHS-Micrographic Surgery Physician$452.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Galen Medical Group, PCTNInternal Medicine Physician$0$10.2M
    Agilitas Usa IncTNPhysical Therapy Clinic/Center$0$7.4M
    Dental Center, IncTNDentist$0$7.4M
    Lighthouse Kids Hixson, LLCTNBehavior Analyst$0$3.7M
    Devon GhodasraTNRetina Specialist (Ophthalmology) Physician$3.6M$0
    Hixson Pediatric Dentistry PLLCTNPediatric Dentistry$0$3.2M
    Rohan ShahTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Memorial Health Care System Inc.TNGeneral Acute Care Hospital$0$2.4M
    Chattanooga Pain Management Center LLCTNAmbulatory Surgical Clinic/Center$2.4M$1.6K
    Francis DecroosTNRetina Specialist (Ophthalmology) Physician$2.3M$0

    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
    Todd Fowler — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee