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    OpenPayerNPI Medicare & MedicaidJohn Cowan
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    John Cowan — Billing Profile & Reimbursement Data

    NPI 1902080559 · Bowling Green, KY · MOHS-Micrographic Surgery Physician

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    John Cowan is a mohs-micrographic surgery physician provider located in Bowling Green, Kentucky. This profile covers 33 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Cowan
    Address1106 Fairway St
    CityBowling Green
    StateKY
    ZIP42103
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedDecember 18, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    JOHN COWAN is a MOHS-Micrographic Surgery Physician in BOWLING GREEN, KY with reported lifetime Medicare revenue of $1.5M and no Medicaid billing on file. The absence of any Medicaid claims makes this effectively a single-payer (Medicare) billing profile at present, concentrating public-payer exposure entirely on Medicare.

    Revenue is highly concentrated in a few procedure lines: the top 3 Medicare codes (17311, 17312, 11102) account for 52.9% of the provider's total Medicare revenue. Notably, 17311 alone generated $441K (30.1% of total Medicare revenue), 17312 generated $242.6K (16.6%), and 11102 generated $90.5K (6.2%), indicating a small set of procedures drive the bulk of inflow.

    The code mix is characteristic of a Mohs-centered surgical dermatology practice: high-volume Mohs codes (17311, 17312, 17313) appear alongside numerous complex closure and graft codes (13132, 13121, 12032, 15260). This combination suggests the operation performs staged excisions and immediate reconstruction, handling both oncologic skin excisions and the reconstructive work that follows.

    On national competitive standing for core procedures the provider ranks near the top: 17312 is ranked #36 of 2770 providers (99th percentile, "extreme outlier") and 17311 is ranked #81 of 2969 providers (97th percentile, "notably above typical"). In addition, biopsy volume for 11102 is massive relative to peers (1.3K claims; ranked #77 of 18797, 100th percentile, "extreme outlier"), indicating the provider operates at a substantially higher procedural throughput than most national peers.

    Reconstructive and repair services are a major secondary revenue stream and also show above-typical volumes: 13132 produced $81.3K (5.6%) and ranks #26 of 3088 (99th percentile, "extreme outlier") while 13121 produced $75.8K (5.2%) and ranks #24 of 3302 (99th percentile, "extreme outlier"). Multiple intermediate and complex repair codes such as 12032 ($69.1K, 4.7%; ranked #28 of 6420, 100th percentile, "extreme outlier") further support a workload heavy in surgical closures.

    Ambulatory lesion management is prominent beyond Mohs: high claim counts for biopsy and destruction codes (11102: 1.3K claims; 11103: 955 claims; 17000: 822 claims) alongside auxiliary add-on code 17003 (1K claims) point to a steady stream of lesion diagnosis and destruction procedures. Several of these codes are flagged as "extreme outlier" or "notably above typical" (for example 11102 is a 100th percentile "extreme outlier"), underscoring unusually high throughput in routine dermatologic procedures.

    The provider has a long tenure in Medicare enrollment (NPI enumerated 2007-12-18, ~19 years ago), which, combined with the lifetime $1.5M Medicare revenue figure, suggests an established local practice with sustained Medicare activity over time. Tenure plus consistently high ranks on procedural codes indicate operational stability and specialization rather than a recent surge.

    Payer concentration creates strategic exposure: with no Medicaid billing on file the practice is dependent on Medicare volume for public-payer revenue and may rely on commercial/non-public payers or direct-pay patients for other demand. This single-payer profile could affect contracting leverage and downside risk if Medicare reimbursement or referral patterns change, given that a handful of high-volume codes drive most of the reported Medicare revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…970$460$441K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.810$300$242.6K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.1,290$70$90.5K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…450$180$81.3K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.330$230$75.8K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.100$730$73.9K
    99213The 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…1,060$70$69.9K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.310$220$69.1K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.140$290$40.6K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.90$460$39.4K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311130450$410$171.3K
    17312130190$300$68.9K
    1731393070$430$36.9K
    1526012030$710$24.7K
    1313214080$200$20K
    992142,4627,230110$70$14.1K
    1312114030$230$13.7K
    1524031020$650$12.3K
    1731421030$290$11.4K
    111022230120$60$9.6K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristy KeeneyKYNurse Practitioner$264.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifeskills, IncKYCommunity/Behavioral Health Agency$0$168.8M
    Lifeskills, Inc.KYCommunity/Behavioral Health Agency$0$81.9M
    Uhs Of Bowling Green LLCKYPsychiatric Hospital$0$41.2M
    Acculab, LLCKYClinical Medical Laboratory$699.2K$21.1M
    Interventional Pain Specialists Of Bowling Green PlcKYPain Medicine (Anesthesiology) Physician$0$10.6M
    Pediatric Dentistry Of Southern KentuckyKYPediatric Dentistry$0$9M
    Growing Minds Learning Center, LLCKYBehavior Analyst$0$8.9M
    Bowling Green Warren County Primary Care Center, Inc.KYFederally Qualified Health Center (FQHC)$0$8.5M
    Amanda AshleyKYPediatric Dentistry$0$8.4M
    LucasacareKYDevelopmentally Disabled Services Day Training Agency$0$8.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    John Cowan — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky