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

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

Anne Cowles (NPI 1881249142)

Field	Value
Entity Type	Individual
Organization	Anne Cowles
Address	400 Soldier Creek Dr
City	Rosebud
State	SD
ZIP	57570
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 5, 2019

Payer Source	Total Paid
Medicare	$23.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	90	$110	$9.7K
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…	80	$110	$7.9K
99443	N/A	30	$80	$2.4K
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…	20	$110	$2.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$90	$1K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	30	$20	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Anne Cowles — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	250	340	40	$130	$7.5K
99215	136	450	40	$100	$7.5K
99350	3	10	50	$110	$6.3K
99222	403	450	30	$90	$3.5K
99443	1	10	30	$80	$1.8K
G0318	2	10	70	$20	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$3.4M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
Northeastern Vermont Regional Hospital, Inc	VT	Rural Health Clinic/Center	$0	$1.3M
Northeastern Vermont Regional Hospital Inc.	VT	Primary Care Clinic/Center	$0	$821.4K
Northeastern Vermont Regional Hospital Inc	VT	Rural Health Clinic/Center	$0	$703.3K
Northeastern Vermont Regional Hospital, Inc.	VT	Critical Access Hospital	$0	$442K
Jeremy Collins	NH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$328.2K	$0
Rose Sheehan	VT	Counselor	$0	$324.2K
Christopher Kareores	MA	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$78.4K	$193.8K
Daniel Wilson	VT	Emergency Medicine Physician	$86.9K	$116.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosebud Indian Health Service	SD	General Acute Care Hospital	$0	$22.2M
Rosebud Sioux Tribe Ambulance Service	SD	Paramedic	$406K	$6.1M
Guardian Flight LLC	SD	Air Ambulance	$336.5K	$3.3M
Total Renal Care Inc	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Rosebud Sioux Tribe -chr	SD	Private Vehicle	$0	$304.3K
Shannelle Rico	SD	Family Medicine Physician	$8K	$0

Anne Cowles — Billing Profile & Reimbursement Data

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Anne Cowles — 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