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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFred Fowler
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    Fred Fowler — Billing Profile & Reimbursement Data

    NPI 1326066705 · Charlotte, NC · Gastroenterology Physician

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    Fred Fowler is a gastroenterology physician provider located in Charlotte, North Carolina. This profile covers 17 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
    OrganizationFred Fowler
    Address101 E Wt Harris Blvd Ste 3111
    CityCharlotte
    StateNC
    ZIP28262
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 17, 2006

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

    Payer SourceTotal Paid
    Medicare$202.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,600$40$57.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…920$50$43.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…120$200$23K
    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…210$90$18.4K
    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…100$110$11.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$120$10K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$60$8K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…190$40$7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.160$40$6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$3.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538516356070$290$33.4K
    992145,50118,060110$80$15.1K
    4538012352040$180$13.7K
    432399256060$120$11K
    9949029750120$40$10.3K
    432497217030$270$9.7K
    432488210030$180$9.2K
    G012124526020$280$8.1K
    9945744150100$40$7.9K
    9945444130110$40$7.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Digestive Health Associates, PANCAmbulatory Surgical Clinic/Center$375.3K$169.1K
    Anthony ColvinNCGastroenterology Physician$385.5K$0
    Stephen DealNCGastroenterology Physician$334.6K$0
    Stephen StephensonNCGastroenterology Physician$263.9K$0
    Ronnie CyznerNCGastroenterology Physician$252K$0
    Tarun NarangNCGastroenterology Physician$225.5K$0
    Barry SchneiderNCGastroenterology Physician$161.1K$0
    John ClementsNCGastroenterology Physician$124.7K$0
    Shalini MundraNCNephrology Physician$123.5K$0
    Pouneh NikroozNCGastroenterology Physician$69K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Of North Carolina, LLCNCIn Home Supportive Care Agency$0$134.4M
    Care Well Of Charlotte IncNCIn Home Supportive Care Agency$0$74.4M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$40.8M
    Bayada Home Health Care, Inc.NCCommunity/Behavioral Health Agency$0$38.2M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$37.5M
    Valleygate Dental Surgery Center Of Charlotte LLCNCAmbulatory Surgical Clinic/Center$0$26.3M
    Infinium Health Services LLCNCNursing Care Agency$0$18.3M
    Continuum Care Services, Inc.NCCommunity/Behavioral Health Agency$0$16.1M
    Novant Health Medical Group, LLCNCInternal Medicine Physician$0$15.3M

    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. North Carolina Distribution
    Fred Fowler — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina