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    OpenPayerNPI Medicare & MedicaidSherika Cowan
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    Sherika Cowan — Billing Profile & Reimbursement Data

    NPI 1295483022 · Memphis, TN · Psychiatric/Mental Health Nurse Practitioner

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    Sherika Cowan is a psychiatric/mental health nurse practitioner provider located in Memphis, Tennessee. This profile covers 1 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
    OrganizationSherika Cowan
    Address951 Court
    CityMemphis
    StateTN
    ZIP38103
    TaxonomyPsychiatric/Mental Health Nurse Practitioner
    NPI EnumeratedMarch 10, 2022

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

    Payer SourceTotal Paid
    Medicare$1.2K
    Medicaid$0

    Key Findings

    SHERIKA COWAN is enumerated as a Psychiatric/Mental Health Nurse Practitioner in MEMPHIS, TN with an NPI registration date of 2022-03-10 (~4 years ago), indicating a relatively recent enrollment in Medicare files. Her taxonomy aligns with behavioral health care, which frames interpretation of the small claims mix that follows.

    Lifetime Medicare billing for this provider is very limited: total Medicare revenue is $1.2K while total Medicaid revenue is none (no Medicaid billing on file), so Medicare represents the sole reported public-payer activity and the provider’s public-payer footprint is minimal. This effectively single-payer profile limits the ability to analyze cross-payer service patterns or Medicaid-related utilization.

    Revenue for Medicare is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, signaling that a very small set of services drives all reported Medicare dollars. For profiling and risk adjustment, this concentration means any change in billing for those codes would materially change the provider’s Medicare revenue picture.

    The single listed Medicare code is 99213: 34 claims, $34 avg paid/claim, $1.2K revenue (100.0% of this provider's total Medicare revenue) — ranks #335891 of 457151 providers nationally (26th percentile; typical, unremarkable volume for this code). That rank places the provider below median national volume for 99213, consistent with modest, low-volume outpatient visits rather than higher-intensity or high-volume practice patterns.

    From a service-line perspective, 99213 is an established-patient office/outpatient E/M visit with low-level medical decision making or ~20 minutes of total time; in the context of a Psychiatric/Mental Health NP, this pattern is most consistent with brief medication-management or routine follow-up behavioral-health visits rather than extended psychotherapy or multidisciplinary clinic work. The absence of psychotherapy-specific CPT codes or higher-level E/M codes in the dataset further suggests Medicare billing has been confined to standard, lower-intensity office encounters.

    Competitive standing on Medicare is modest: the provider’s 26th-percentile rank on the primary billed code indicates she is not a dominant national supplier of that service and appears to be a relatively small-scale participant. For payers and network planners, this profile indicates limited current Medicare impact and low comparative negotiating leverage based on volume.

    Analytical implications: because total Medicare revenue is $1.2K and the Medicaid file shows none (no Medicaid billing on file), conclusions must be cautious — the dataset is small and concentrated, and routine benchmarking or quality comparisons may be unreliable. The NPI tenure of 2022-03-10 (~4 years ago) suggests the provider may still be in an early-growth phase, so monitoring future claims for diversification or increases in higher-intensity psychiatric codes would be prudent.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$30$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213911,03080$50$8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alliance Healthcare ServicesTNCommunity/Behavioral Health Agency$0$154.6M
    Harvest Focused & Consulting Services LLCNCCommunity/Behavioral Health Agency$0$7.3M
    Paul CastaldiRIClinical Social Worker$0$5.2M
    Keith LondonGAProfessional Counselor$0$695.7K
    Wyoming Counseling Services PCWYProfessional Counselor$0$595.8K
    Shawn EdgingtonGAProfessional Counselor$0$405K
    Linda PerryNHProfessional Counselor$0$280K
    Gregory SmithSCPsychiatric/Mental Health Nurse Practitioner$221.1K$0
    Jim PangTNPsychiatry Physician$86.7K$128.9K
    Karin CelosseCAClinical Psychologist$207.5K$3.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Healthcare - Memphis HospitalsTNChildren's Hospital$0$84.4M
    Ut Lebonheur Pediatric Specialists, Inc.TNPediatrics Physician$0$63.8M
    Shelby County Health Care CorporationTNGeneral Acute Care Hospital$0$56.1M
    City Of Memphis General City Govt.TNLand Ambulance$3.8M$52M
    Pediatric Emergency Specialists, PCTNPediatric Emergency Medicine (Emergency Medicine) Physician$0$39.1M
    Ut Regional One Physicians IncTNSurgery Physician$0$24.1M
    Meritan, IncTNHome Health Agency$0$16.9M
    Lebonheur Patient TransportationTNLand Ambulance$0$4.5M
    Pediatric Anesthesiologists P ATNAnesthesiology Physician$0$4.4M
    University Of TennesseeTNDentist$0$3.1M

    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
    Sherika Cowan — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee