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

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

Mark Howshar (NPI 1891710547)

Field	Value
Entity Type	Individual
Organization	Mark Howshar
Address	2003 Bluegrass Cir
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Body Imaging Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$478.7K
Medicaid	$0

Key Findings

This provider is effectively Medicare‑focused: lifetime Medicare revenue is $478.7K while there is no Medicaid billing on file. That single‑payer profile suggests the practice’s book of business is concentrated among Medicare and likely commercial payers rather than state Medicaid contracts, which has implications for network negotiations and outreach to Medicaid populations.

Revenue concentration is meaningful: the precomputed top three Medicare codes account for 34.6% of this provider’s total Medicare revenue, with a single CPT code, 78815, representing $78.4K (20.2%) of Medicare revenue. This concentration indicates a small set of high‑value imaging services drive a disproportionate share of reimbursement.

Clinical/service mix aligns with a cross‑sectional and oncologic imaging practice consistent with the listed taxonomy Body Imaging Physician: the top codes include 78815 (PET/CT), 74177 and 74178 (CT abdomen/pelvis), plus a mix of MRI and CT chest/angiography codes. The prominence of 78815 and multiple CT/MR CPTs suggests a modality mix built around advanced diagnostic imaging—PET/CT for tumor localization, CT for abdominal/pelvic pathology, and MRI for spine/brain imaging.

The provider shows pockets of above‑average national activity for specific CT services: 74178 ranks #421 of 11397 (96th percentile; notably above typical national volume) and 71275 ranks #620 of 19107 (97th percentile; notably above typical national volume). These rankings indicate the provider is a relatively high‑volume performer nationally for certain CT examinations (e.g., CTA/chest CT and combined CT abdomen/pelvis sequences), even though other services fall at or near typical national volumes.

Many commonly billed codes are within national norms: 78815 (PET/CT) ranks #2034 of 6566 (69th percentile; typical, unremarkable volume) and several MRI and routine CT codes are described as typical, unremarkable volume. This pattern—selectively high volume on certain CT/CTA codes but generally typical volumes elsewhere—points to a focused service strength rather than broad dominance across all imaging types.

The practice also performs a meaningful volume of breast and bone density screening services, suggesting a diversified outpatient imaging offering: 77067 (screening mammography) produced $25.5K, 77063 (tomosynthesis) produced $10.6K, and 77080 (DXA) shows 373 claims for $14.2K. These lines indicate that, in addition to advanced cross‑sectional work, the provider maintains routine screening modalities that can support steady outpatient throughput.

Tenure is long‑running: the NPI was enumerated on 2006-07-13 (~20 years ago), indicating this provider has been in the Medicare system for roughly two decades. That longevity supports stability in credentialing and payer relationships and may explain established referral patterns for specialty imaging services.

Medicare: Complete Services Breakdown

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	100	$770	$78.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	330	$90	$29.2K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	120	$220	$26.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	210	$120	$25.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	180	$120	$21.4K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	230	$70	$16.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	70	$210	$14.3K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	70	$210	$14.3K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	370	$40	$14.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	420	$30	$13.7K

Showing 1–10 of 91

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 91 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Mark Howshar — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

91 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78815	4	10	50	$650	$75K
A9552	4	10	70	$260	$29.5K
77067	20	40	210	$80	$23.8K
78452	20	20	70	$210	$13.7K
74177	3	40	150	$80	$12.5K
77063	19	40	200	$40	$10.9K
70553	10	30	60	$130	$7.8K
62323	17	20	30	$170	$7.7K
71250	6	30	100	$50	$6K
72148	4	50	40	$90	$6K

Showing 1–10 of 91

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pikeville Medical Center Inc	KY	General Acute Care Hospital	$0	$181.5M
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Pikeville Medical Center Inc.	KY	Multi-Specialty Clinic/Center	$0	$34.2M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry LLC	WY	Pediatric Dentistry	$0	$8M
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Sandra Surbrugg	WY	Dermatology Physician	$664.9K	$0

Mark Howshar — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References