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NPI 1275628075 · Flint, MI · Primary Podiatric Medicine Podiatrist
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David Kowal is a primary podiatric medicine podiatrist provider located in Flint, Michigan. This profile covers 8 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Kowal |
| Address | 3092 Pierson |
| City | Flint |
| State | MI |
| ZIP | 48504 |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| NPI Enumerated | October 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $304.8K |
| Medicare | $79.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 1,790 | $30 | $60.9K |
| 99213 | The 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… | 90 | $60 | $5.8K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 170 | $30 | $5.1K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 50 | $80 | $3.6K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 30 | $50 | $1.5K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 20 | $60 | $1.3K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 20 | $50 | $960 |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 30 | $30 | $750 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 5,950 | $40 | $261.8K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 630 | $60 | $35.4K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 70 | $30 | $1.7K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 70 | $20 | $1.6K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 30 | $40 | $1.3K |
| 99203 | The 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… | 10 | $60 | $660 |
| 20600 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 10 | $30 | $300 |
| 11732 | The provider removes part or all of an additional nail plate after the first using simple avulsion techniques. | 10 | $20 | $200 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 932 | 4,770 | 1,060 | $50 | $247.8K |
| 99203 | The 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… | 1,928 | 2,000 | 260 | $60 | $84.2K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 534 | 720 | 120 | $50 | $29.2K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 163 | 230 | 210 | $20 | $15.7K |
| 20600 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 30 | 30 | 130 | $20 | $14.9K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 38 | 80 | 70 | $30 | $11.1K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 4 | 40 | 50 | $50 | $8.5K |
| 11732 | The provider removes part or all of an additional nail plate after the first using simple avulsion techniques. | 6 | 10 | 20 | $10 | $620 |
Other providers in the same ZIP code as David Kowal, ranked by combined Medicare and Medicaid revenue.
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