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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Andrew Fowler (NPI 1831274372)

Field	Value
Entity Type	Individual
Organization	Andrew Fowler
Address	2501 Citico Ave
City	Chattanooga
State	TN
ZIP	37404
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicare	$169.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,350	$80	$113.3K
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…	180	$110	$19.5K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,310	$10	$11.8K
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…	170	$60	$10K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$7.1K
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	1,060	$1	$4.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$130	$2.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	170	$10	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Andrew Fowler — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	110	11,370	120	$80	$16.6K
99232	1,336	3,990	100	$60	$11.4K
99215	1,911	2,710	40	$110	$8.3K
99223	1,190	3,130	40	$120	$8K
99204	174	5,490	30	$100	$5.3K
93010	372	990	110	$10	$1.9K
93000	22	1,820	40	$10	$1.4K
85610	6	410	100	$1	$730

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chattanooga Hamilton County Hospital Authority	TN	General Acute Care Hospital	$0	$52.4M
Chattanooga Hamilton County Hospital Authority	TN	Internal Medicine Physician	$0	$27.9M
Chattanooga Hamilton County Hospital Authority	TN	Critical Access Hospital	$0	$5.6M
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$4.1M
Erlanger Health	TN	General Acute Care Hospital	$0	$3.3M
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$2.4M
Erlanger Health	TN	Internal Medicine Physician	$0	$2.3M
Erlanger Behavioral Health, LLC	TN	Psychiatric Hospital	$0	$2.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Clint Kingsley	AL	Hematology & Oncology Physician	$1.6M	$22K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	General Acute Care Hospital	$0	$26.8M
County Of Hamilton	TN	Land Ambulance	$3.2M	$10.4M
Orange Grove Center, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$7.8M
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Gregory Sutton	TN	Hematology & Oncology Physician	$1.6M	$0
Edward Arrowsmith	TN	Hematology & Oncology Physician	$1.4M	$0
Benjamin Nadeau	TN	Hematology & Oncology Physician	$1.3M	$0
Doloris Hawk	TN	Family Nurse Practitioner	$1.1M	$0

Andrew Fowler — Billing Profile & Reimbursement Data

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Andrew 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

Related Providers

Nearby Providers

Frequently Asked Questions

References