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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Brett Fowler (NPI 1700248481)

Brett Fowler is a vascular surgery physician provider located in West Columbia, South Carolina. This profile covers 10 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Brett Fowler
Address	2728 Sunset Blvd Ste 400
City	West Columbia
State	SC
ZIP	29169
Taxonomy	Vascular Surgery Physician
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicare	$14.1K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new 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 provider…	40	$130	$4.4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	110	$30	$3.2K
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…	20	$100	$2.2K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	40	$30	$1.1K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	60	$20	$870
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$60	$780
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	60	$10	$510
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	20	$30	$490
76706	The provider performs an ultrasound (a noninvasive imaging procedure that uses high–frequency sound waves) of the abdominal aorta, the largest artery supplying blood and oxygen to organs and…	20	$30	$400
93882	The provider performs a duplex ultrasound scan of the carotid and/or vertebral arteries on one side. He performs the procedure to evaluate the arteries for stenosis, or narrowing, in a patient who…	20	$20	$360

Brett Fowler — Billing Profile & Reimbursement Data

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Brett Fowler — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,147	7,860	160	$80	$23.2K
99232	2,752	2,780	90	$60	$12K
93880	100	360	60	$80	$8.2K
99204	2,460	4,520	40	$110	$6.4K
93978	80	100	40	$80	$4.2K
93970	120	270	40	$50	$3.5K
93882	8	10	20	$60	$3.5K
93922	71	190	40	$30	$2.5K
93971	124	280	50	$30	$2.5K
76706	24	50	20	$40	$990