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

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

Theodore Bowlus (NPI 1437159274)

Field	Value
Entity Type	Individual
Organization	Theodore Bowlus
Address	27121 Oakmead Dr Ste C
City	Perrysburg
State	OH
ZIP	43551
Taxonomy	Podiatrist
NPI Enumerated	July 22, 2005

Payer Source	Total Paid
Medicare	$41.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 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.	460	$30	$12.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	130	$70	$9.8K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	60	$90	$5.2K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	50	$80	$4.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	90	$40	$3.4K
20551	The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon.	60	$40	$2.3K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	40	$30	$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…	20	$60	$1.2K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	30	$30	$850
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…	10	$30	$400

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Theodore Bowlus — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	244	660	330	$30	$12.9K
17110	224	680	80	$70	$8.5K
11042	399	540	90	$60	$7.5K
10060	13	90	20	$90	$3K
99203	4,127	6,380	30	$60	$2.9K
99212	583	4,100	30	$30	$1.7K
J0702	246	270	120	$1	$1.3K
99202	667	850	20	$40	$1.2K
20605	36	190	20	$30	$1.1K
73630	648	1,150	40	$20	$1K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospice Of Northwest Ohio	OH	Community Based Hospice Care Agency	$0	$31M
Ohioans Home Healthcare, Inc	OH	Home Health Agency	$0	$8.2M
Abdel Kader Tal	OH	MOHS-Micrographic Surgery Physician	$320.9K	$0
Stephen Clark	OH	Ophthalmology Physician	$290.4K	$0
John Lovas	OH	Optometrist	$199.3K	$41.4K
Michael Coulter	OH	Physical Therapist	$197.5K	$0
Benjamin Swartz	OH	Family Medicine Physician	$184.6K	$0
Ravi Pothireddy	OH	Internal Medicine Physician	$171.5K	$0
Carolyn Gbur	OH	Cardiovascular Disease Physician	$160.9K	$0
Hemindermeet Singh	OH	Cardiovascular Disease Physician	$158.9K	$0

Theodore Bowlus — Billing Profile & Reimbursement Data

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Theodore Bowlus — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References