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NPI 1720346844 · Missoula, MT · Otolaryngology Physician
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Jonathan Fowlkes is a otolaryngology physician provider located in Missoula, Montana. This profile covers 13 Medicare and 14 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 | Jonathan Fowlkes |
| Address | 700 W Kent Ave |
| City | Missoula |
| State | MT |
| ZIP | 59801 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | April 26, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $121.8K |
| Medicare | $100.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 38724 | The provider excises the lymph nodes and any diseased soft tissue he finds in the cervical area. He takes care to dissect free and preserve the spinal accessory nerve, the jugular vein, and the… | 20 | $1,100 | $18.7K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 160 | $90 | $14.3K |
| 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… | 110 | $120 | $13.4K |
| 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… | 170 | $60 | $11.1K |
| 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… | 110 | $90 | $9.7K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 70 | $130 | $8.7K |
| 64582 | The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor… | 10 | $680 | $8.2K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 10 | $390 | $5.4K |
| 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… | 60 | $80 | $4.4K |
| 70486 | The 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. | 40 | $90 | $3.5K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
14 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… | 320 | $190 | $62.3K |
| 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… | 410 | $110 | $43.8K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 40 | $240 | $9.2K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 40 | $130 | $4.8K |
| 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… | 30 | $70 | $1.9K |
| 4040F | Pneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all… | 20 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 220 | $0 | $0 |
| G8482 | Influenza immunization administered or previously received | 90 | $0 | $0 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or… | 50 | $0 | $0 |
| G8484 | Influenza immunization was not administered, reason not given | 60 | $0 | $0 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
14 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… | 470 | 520 | 730 | $40 | $196.4K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 6 | 10 | 120 | $180 | $60.6K |
| 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… | 37 | 130 | 100 | $120 | $49.4K |
| 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… | 54 | 190 | 130 | $70 | $37.2K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 2 | 10 | 30 | $90 | $4.3K |
| 4040F | Pneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all… | 2 | 10 | 20 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 19 | 30 | 240 | $0 | $0 |
| G8482 | Influenza immunization administered or previously received | 6 | 10 | 100 | $0 | $0 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or… | 2 | 10 | 40 | $0 | $0 |
| G8484 | Influenza immunization was not administered, reason not given | 2 | 10 | 40 | $0 | $0 |
Showing 1–10 of 14
Other providers in the same ZIP code as Jonathan Fowlkes, ranked by combined Medicare and Medicaid revenue.
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