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NPI 1679679153 · Burlington, MA · Pain Medicine (Anesthesiology) Physician
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Andrew Kowal is a pain medicine (anesthesiology) physician provider located in Burlington, Massachusetts. This profile covers 23 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andrew Kowal |
| Address | 41 Mall Rd |
| City | Burlington |
| State | MA |
| ZIP | 01805 |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| NPI Enumerated | September 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $226.3K |
| Medicaid | $1.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 200 | $230 | $46.6K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 450 | $80 | $35.3K |
| 99213 | The 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… | 510 | $50 | $26.7K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 180 | $110 | $18.8K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 240 | $70 | $17.5K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 180 | $60 | $10.6K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 50 | $220 | $9.9K |
| 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… | 150 | $60 | $9.8K |
| 99214 | The 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… | 100 | $70 | $7.6K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 100 | $80 | $7.4K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64635 | 2 | 110 | 30 | $350 | $16.5K |
| 99214 | 7,880 | 15,410 | 110 | $80 | $15.6K |
| 64483 | 161 | 170 | 40 | $180 | $14.1K |
| 62323 | 3 | 190 | 70 | $120 | $12.2K |
| 64493 | 11 | 180 | 50 | $160 | $11.2K |
| 64633 | 2 | 30 | 20 | $360 | $9.5K |
| 99213 | 675 | 13,700 | 70 | $60 | $8.8K |
| 64490 | 11 | 80 | 30 | $170 | $6.5K |
| 64636 | 1 | 90 | 30 | $140 | $6K |
| 20610 | 414 | 980 | 60 | $50 | $5.8K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 40 | $50 | $1.7K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 4,143 | 5,300 | 230 | $60 | $164.5K |
Other providers in the same ZIP code as Andrew Kowal, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lahey Clinic Hospital, Inc. | MA | General Acute Care Hospital | $0 | $112.9M |
| Lahey Clinic Hospital Inc | MA | Ambulance | $433.4K | $72.9K |
| Naveen Rao | MA | Cornea and External Diseases Specialist Physician | $392.8K | $0 |
| Pauline Reohr | MA | Dermatology Physician | $385.6K | $0 |
| Sherry Emery | MA | Anatomic Pathology & Clinical Pathology Physician | $208.6K | $64.9K |
| Christopher Wright | MA | Radiation Oncology Physician | $267.5K | $0 |
| Anne Morris | MA | Diagnostic Radiology Physician | $254.1K | $0 |
| Robert Whitmore | MA | Neurological Surgery Physician | $240.6K | $0 |
| Jeanette Chun | MA | Diagnostic Radiology Physician | $177.3K | $48.9K |
| Mustafa Albakour | MA | Internal Medicine Physician | $145.2K | $47.9K |
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