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

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

Marc Bowers (NPI 1851480362)

Field	Value
Entity Type	Individual
Organization	Marc Bowers
Address	777 N 500 W Ste 205
City	Provo
State	UT
ZIP	84601
Taxonomy	Chiropractor
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicare	$28.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	730	$40	$28.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Marc Bowers — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98942	2	30	190	$40	$10.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wasatch Behavioral Health Special Service District	UT	Community/Behavioral Health Agency	$0	$178.1M
Provo City Corporation	UT	Land Ambulance	$161.1K	$3.7M
Utah County Government	UT	Public Health or Welfare Agency	$141K	$3M
Utah County Department Of Drug And Alcohol Prevention And Treatment	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.5M
Country View Assisted Living LLC	UT	Assisted Living Facility	$0	$2.3M
Kevin Markham	UT	Pediatric Dentistry	$0	$977.4K
Bryce Bott	UT	Pediatric Dentistry	$0	$794.2K
Ach Provo, LLC	UT	In Home Supportive Care Agency	$0	$761.3K
Valley Obstetrics And Gynecology, PC	UT	Obstetrics & Gynecology Physician	$0	$452.1K
Trace Lund	UT	Pediatric Dentistry	$0	$450.4K

Marc Bowers — Billing Profile & Reimbursement Data

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Marc Bowers — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References