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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Cowan
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    Douglas Cowan — Billing Profile & Reimbursement Data

    NPI 1497978548 · Leawood, KS · Otolaryngology Physician

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    Douglas Cowan is a otolaryngology physician provider located in Leawood, Kansas. This profile covers 24 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
    OrganizationDouglas Cowan
    Address4801 College Blvd Fl 2
    CityLeawood
    StateKS
    ZIP66211
    TaxonomyOtolaryngology Physician
    NPI EnumeratedApril 10, 2007

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

    Payer SourceTotal Paid
    Medicare$311.9K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…40$1,560$56.1K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.180$270$48.2K
    31296The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus.20$1,550$27.8K
    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…340$60$20.6K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).110$160$17.8K
    31297The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the sphenoid sinus.10$1,310$15.8K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.160$90$14.3K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.40$320$13.8K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…60$210$11.7K
    31259The provider performs a complete excision of the ethmoid air cells (anterior and posterior) and widens the opening of the sphenoid sinus cavity via surgical nasal/sinus endoscopy. The procedure is…30$430$10.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129511040$1,560$56.1K
    3129611020$1,550$27.8K
    3127681020$880$20.3K
    3126733020$630$18.2K
    992142,2224,310120$70$16.4K
    3129711010$1,310$15.8K
    3125931020$650$14.4K
    3123713040$250$12.4K
    3014023030$300$12.2K
    951653650800$10$11.9K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Missouri Medical CenterMOGeneral Acute Care Hospital$0$9.7M
    Emergency Medicine Services Of Mo, LLCMOEmergency Medicine Physician$0$7.1M
    Cass Regional Medical CenterMOCritical Access Hospital$0$6.6M
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Bradley MooreMOUrology Physician$1.1M$0
    David FielekeMODermatology Physician$823.2K$0
    John ArmilioMOFamily Medicine Physician$632.3K$0
    Matthew MalloryARRadiation Oncology Physician$570.4K$0
    Bradley AndersonMOGastroenterology Physician$510.4K$0
    Maninder PablaMOInternal Medicine Physician$447.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Hospital, LLCKSGeneral Acute Care Hospital$0$46.4M
    The Children's Mercy HospitalKSChildren's Hospital$0$22.3M
    MosaicKSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$18M
    Destiny Home HealthKSHome Health Agency$0$6.9M
    Care Alternatives Of Missouri, LLCKSCommunity Based Hospice Care Agency$0$6.4M
    Ku Medwest Ambulatory Surgery Center, LLCKSAmbulatory Surgical Clinic/Center$4.6M$5.7K
    Novamed Eye Surgery Center Of Overland Park, LLCKSAmbulatory Surgical Clinic/Center$2.9M$24.9K
    Mark ThompsonKSRadiation Oncology Physician$2.6M$0
    Kenon QamarKSRadiation Oncology Physician$2.5M$0
    Minuteclinic Diagnostic Of Kansas PAKSFamily Nurse Practitioner$0$2.1M

    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. Kansas Distribution
    Douglas Cowan — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas