Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCrystal Dowler
    Ask Trek AI about this page

    Crystal Dowler — Billing Profile & Reimbursement Data

    NPI 1447579669 · Parkersburg, WV · Family Medicine Physician

    Customize your policy alerts

    Sign up for Crystal Dowler — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Crystal Dowler is a family medicine physician provider located in Parkersburg, West Virginia. This profile covers 6 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCrystal Dowler
    Address2311 Ohio Ave Ste A
    CityParkersburg
    StateWV
    ZIP26101
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 27, 2010

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

    Payer SourceTotal Paid
    Medicare$25.5K
    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.

    6 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…230$60$14K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…60$90$5.6K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…90$50$4.5K
    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…10$100$1.1K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.10$30$440
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…30$1$60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419,8532,740100$70$11.8K
    992132,9052,86080$50$7.5K
    8750231020$90$2K
    87635122020$50$970
    87651342020$30$820
    8100369131030$1$100

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$76.9M
    Sheltering Arms Hospital Foundation, Inc.OHGeneral Acute Care Hospital$0$26.9M
    Ohiohealth Urgent Care LLCOHUrgent Care Clinic/Center$0$13.4M
    Mohammad KabirOHCardiovascular Disease Physician$386.6K$1.6K
    Daniel BurwellOHFamily Medicine Physician$109.3K$0
    Daniel MaldovanOHCertified Registered Nurse Anesthetist$62.1K$0
    Shannon CodispotiOHInternal Medicine Physician$57.2K$0
    James SammonsOHInternal Medicine Physician$49.3K$0
    Natalie OttavioOHAdult Health Nurse Practitioner$48.8K$0
    Melissa ClevengerOHFamily Nurse Practitioner$22.5K$24.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rscr West Virginia, Inc.WVDevelopmental Disabilities Clinic/Center$0$153.6M
    Camden Clark Memorial Hospital CorporationWVGeneral Acute Care Hospital$0$56.2M
    St. Joseph Recovery Center, LLCWVSubstance Use Disorder Rehabilitation Clinic/Center$0$49.5M
    Westbrook Health Services, IncWVCommunity/Behavioral Health Agency$0$42.5M
    Westbrook Health Services, Inc.WVCommunity/Behavioral Health Agency$0$32.6M
    Camden-clark Physician CorporationWVSurgery Physician$0$19.8M
    Wv Family Support And Rehabilitation ServicesWVCommunity/Behavioral Health Agency$0$19.4M
    Clean & Clear Advantage, LLCWVAddiction (Substance Use Disorder) Counselor$0$18.3M
    Mjs Enterprises IncWVLand Ambulance$960.2K$8.7M
    Camden Clark Memorial Hospital CorporationWVLand Ambulance$874.9K$5.3M

    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. West Virginia Distribution
    Crystal Dowler — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia