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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Carol Bowen-wells (NPI 1174710982)

Field	Value
Entity Type	Individual
Organization	Carol Bowen-wells
Address	3 Shircliff Way
City	Jacksonville
State	FL
ZIP	32204
Taxonomy	Surgical Oncology Physician
NPI Enumerated	September 26, 2007

Payer Source	Total Paid
Medicare	$5.1M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused surgical oncology/wound-care operator: total Medicare revenue is $5.1M while Medicaid revenue is none, indicating no Medicaid billing on file and that public-reimbursement activity is concentrated in Medicare. The provider’s taxonomy is Surgical Oncology Physician and the billing profile supports a procedure-heavy practice rather than a mixed primary-care outpatient model.

Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 99.9% of this provider’s total Medicare revenue, with Q4217 alone representing $5.1M (99.1% of Medicare revenue). This indicates the practice’s earnings are overwhelmingly driven by a single procedure family rather than a diversified set of office visits or minor procedures.

Q4217 dominates the provider’s Medicare footprint and is performed at very high volume: 5.6K claims generating $5.1M revenue, and the provider ranks #4 of 65 nationally (95th percentile) for this code with a label of notably above typical national volume. Because Q4217 is an area-based skin substitute add-on, this pattern suggests frequent use of skin substitute products billed per square centimeter as the central service line.

The other two top Medicare codes are comparatively small revenue contributors and align with a supportive clinical mix: 15271 accounts for $22.6K (0.4% of Medicare revenue) and ranks #124 of 1157 nationally (89th percentile, typical volume), while 99214 accounts for $19.1K (0.4% of Medicare revenue) and ranks #153771 of 479517 nationally (68th percentile, typical volume). These figures show that evaluation-and-management visits and a low-volume additional skin-substitute code are present but far overshadowed by Q4217 procedural work.

Competitive standing is bifurcated: the provider is a national high-volume performer for Q4217 (top decile, rank #4 of 65) and therefore a major participant for that specific skin-substitute procedure, while participation in common office E/M codes and lower-volume wound codes is modest and close to typical peer levels. This suggests market prominence in a narrow, procedure-focused niche rather than broad outpatient care leadership.

Tenure and operational longevity are notable: the NPI was enumerated on 2007-09-26 (~19 years ago), implying an established practice presence in Jacksonville, FL. That length of enrollment is consistent with sustained procedural throughput required to generate the observed cumulative Medicare revenue.

The billing mix shows a procedure-centric revenue model with relatively little captured through office visits: 99214 and 99204 together contribute only a small fraction of Medicare revenue relative to the dominant skin-substitute code population. This pattern indicates the provider bills primarily for intervention-oriented services (area-based skin substitute applications) rather than follow-up or longitudinal E/M encounters.

Absence of Medicaid billing on file means the provider is effectively single-payer within public programs and may have limited engagement with Florida Medicaid; this has implications for payer mix, contracting exposure, and access to Medicaid populations, as none of the Top 25 Medicaid CPT/HCPCS codes are present in the record.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	5,630	$910	$5.1M
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	190	$120	$22.6K
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…	200	$100	$19.1K
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	70	$60	$4.4K
99204	The 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…	20	$120	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Carol Bowen-wells — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	3	20	600	$1,020	$2.2M
99214	13,172	32,760	140	$90	$25K
17250	125	220	90	$40	$9.4K
15271	19	160	70	$100	$9K
99204	14,169	19,040	40	$110	$7K

Nearby Providers

Other providers in the same ZIP code as Carol Bowen-wells, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All About Pediatrics, LLC	FL	Durable Medical Equipment & Medical Supplies	$0	$16.6M
St Vincents Medical Center Inc	FL	General Acute Care Hospital	$0	$12.7M
St Vincents Ambulatory Care Inc	FL	Neurological Surgery Physician	$0	$10.4M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.1M
Abdallah Jeroudi	FL	Ophthalmology Physician	$3.3M	$2.9K
Leonard Shvartzman	FL	MOHS-Micrographic Surgery Physician	$2.5M	$0
Mitchell Terk	FL	Radiation Oncology Physician	$2.2M	$0
Jacksonville Endoscopy Centers LLC	FL	Ambulatory Surgical Clinic/Center	$1.2M	$36.1K
Richard Lewis	FL	Urology Physician	$583.6K	$0
Josep Genebriera De Lamo	FL	Dermatology Physician	$576.3K	$0

Carol Bowen-wells — Billing Profile & Reimbursement Data

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Carol Bowen-wells — 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

Nearby Providers

Frequently Asked Questions

References