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    OpenPayerNPI Medicare & MedicaidMichael Crowe
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    Michael Crowe — Billing Profile & Reimbursement Data

    NPI 1477667038 · Owensboro, KY · MOHS-Micrographic Surgery Physician

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    Michael Crowe is a mohs-micrographic surgery physician provider located in Owensboro, Kentucky. This profile covers 29 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
    OrganizationMichael Crowe
    Address2821 New Hartford Rd
    CityOwensboro
    StateKY
    ZIP42303
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedAugust 19, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue totals $1.2M and there is no Medicaid billing on file, so the practice is effectively single‑payer in the available data and fully dependent on Medicare as its revenue source. The absence of any Medicaid claims suggests limited engagement with Medicaid populations or possible credentialing/participation choices that exclude Medicaid.

    Revenue concentration is high: the precomputed top three Medicare codes (77280, 88305, 99213) account for 54.2% of total Medicare revenue. Those three codes individually contribute $371.3K (77280, 31.7%), $182.1K (88305, 15.5%), and $82K (99213, 7.0%) respectively, showing that a small set of services drives the majority of billings.

    The code mix points to a blended practice model combining radiation therapy planning workloads and high diagnostic/pathology throughput alongside office evaluation services. The top code 77280 ($371.3K) is a radiation therapy simulation procedure, 88305 ($182.1K) represents surgical pathology level IV examinations, and high-volume biopsy codes such as 11103 (1.8K claims, $63.7K) and 11102 (1K claims, $63.6K) show a substantial diagnostic biopsy footprint consistent with dermatologic surgical practice.

    Several individual codes show national outlier volumes, signaling competitive strength in specific service lines: 77280 ranks #34 of 3348 (99th percentile; extreme outlier) and 99213 ranks #2582 of 457151 (99th percentile; extreme outlier), indicating this provider bills far above typical national volume for those services. Additional extreme outlier ranks include 11103 at #31 of 13774 (100th percentile; extreme outlier) and 17263 at #5 of 901 (100th percentile; extreme outlier), which together imply local dominance in biopsy and lesion‑destruction procedures.

    Not all high‑revenue procedures are surgical Mohs: although Mohs codes (17311, 17312, 17313, 17314) appear and together contribute meaningful revenue (for example 17311 generates $66K, 5.6% of Medicare revenue), the single largest revenue driver is 77280. This split indicates the practice’s economics rely significantly on imaging/simulation and pathology work in addition to Mohs courses of care.

    Operationally, the practice shows very high claim volumes for lower‑paid, high‑throughput services: 88305 has 3.6K claims at $51 avg paid/claim and 11103 has 1.8K claims at $36 avg paid/claim, indicating sustained specimen processing and biopsy volume that likely requires in‑house or closely partnered pathology workflows. These volumes suggest capacity and staffing implications (lab coordination, specimen handling) that are material to the business model.

    A notable billing detail with planning implications is the presence of 77401 ($38.7K, 1.3K claims), which is flagged as Deleted effective Jan. 1, 2026; this code’s removal may shift reimbursement mix or reporting patterns going forward and should be tracked when projecting future Medicare revenue.

    The provider has an established NPI tenure (enumerated on 2006-08-19 (~20 years ago)), indicating a long operating history in the data; combined with the concentration in a few high‑revenue codes and multiple national outlier ranks, this tenure supports the interpretation of a stable, specialty‑focused practice rather than a newly emergent billing pattern.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.1,930$190$371.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3,570$50$182.1K
    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…1,410$60$82K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…180$380$66K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…1,770$40$63.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.1,010$60$63.6K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.150$300$46.2K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…130$320$41.3K
    77401Deleted effective Jan. 1, 2026.1,330$30$38.7K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.80$440$37K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173112530450$410$171.3K
    173121930190$300$68.9K
    17313103070$430$36.9K
    883058180590$30$33.2K
    77401110920$30$24.6K
    7728015040$160$24.6K
    1404151020$660$21K
    13132264080$200$20K
    992143,9797,230110$70$14.1K
    13121364030$230$13.7K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Artis TruettKYDermatology Physician$1.1M$0
    Brett AustinINDermatology Physician$676.5K$0
    Ankit AgarwalTXRadiation Oncology Physician$650K$0
    Sandra CoxKYDermatology Physician$118.6K$0
    Dana JenningsKYPhysician Assistant$110.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Owensboro Health IncKYGeneral Acute Care Hospital$0$148.8M
    Green River District Home HealthKYEarly Intervention Provider Agency$0$22.1M
    Wendell Foster's Campus For Developmental DisabilitiesKYComprehensive Outpatient Rehabilitation Facility (CORF)$0$19M
    Puzzle Pieces, Inc.KYCommunity/Behavioral Health Agency$0$13.2M
    Caretenders Vs Of Western Ky, LLCKYHome Health Agency$0$12.8M
    Truenorth Treatment Center, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$11.8M
    Community Alternatives Kentucky, Inc.KYCase Management Agency$0$9.5M
    Owensboro Pediatrics LLCKYPediatrics Physician$0$9.2M
    Owensboro Health Medical Group, IncKYPediatrics Physician$0$7.4M
    Green River District Health DeptKYHome Health Agency$0$7.2M

    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. Kentucky Distribution
    Michael Crowe — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky