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NPI 1942397864 · Lexington, KY · Ophthalmology Physician
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David Cowen is a ophthalmology physician provider located in Lexington, Kentucky. This profile covers 21 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Cowen |
| Address | 771 Corporate Dr |
| City | Lexington |
| State | KY |
| ZIP | 40503 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | October 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $323.6K |
| Medicaid | $55.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 200 | $620 | $121.7K |
| 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… | 270 | $100 | $27.4K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4,940 | $10 | $24.7K |
| 67840 | In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures. | 130 | $170 | $21.7K |
| 99203 | The provider sees a new 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 provider… | 230 | $70 | $15.2K |
| 15733 | The provider develops a muscle, myocutaneous, or fasciocutaneous flap from one of the muscles in the forehead, around the jaws, or neck, preserving the vascular supply, and uses it to cover a nearby… | 20 | $730 | $14.6K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 40 | $320 | $13.3K |
| 64612 | In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles. | 100 | $130 | $13.2K |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 3,130 | $1 | $12.5K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 20 | $540 | $11.9K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 680 | $50 | $35.4K |
| 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… | 140 | $60 | $8.5K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 640 | $10 | $6.3K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 10 | $220 | $2.6K |
| 67840 | In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures. | 20 | $70 | $1.1K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 30 | $30 | $840 |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 10 | $40 | $570 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 488 | 1,020 | 120 | $70 | $62K |
| 99203 | The provider sees a new 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 provider… | 285 | 1,400 | 130 | $50 | $45.8K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 538 | 590 | 80 | $40 | $13K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 31 | 50 | 40 | $30 | $7.5K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 2 | 20 | 120 | $10 | $3.4K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 1 | 10 | 10 | $220 | $2.6K |
| 67840 | In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures. | 1 | 10 | 20 | $70 | $1.1K |
Other providers in the same ZIP code as David Cowen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Baptist Healthcare System, Inc | KY | General Acute Care Hospital | $0 | $98.1M |
| Encore Adhc, LLC | KY | Adult Day Care Clinic/Center | $0 | $51.9M |
| Center For Comprehensive Services, Inc | KY | Rehabilitation Hospital | $0 | $28.7M |
| Lhcg Lxx, LLC | KY | Home Health Agency | $0 | $27.1M |
| P & C Labs, LLC | KY | Clinical Medical Laboratory | $427.3K | $18M |
| Healthfirst Bluegrass Inc | KY | Federally Qualified Health Center (FQHC) | $0 | $18.1M |
| Ndt Care Services, LLC | KY | Community/Behavioral Health Agency | $0 | $17.5M |
| Lexington Urgent Care PLLC | KY | Urgent Care Clinic/Center | $0 | $16.7M |
| Ballard Wright, Md, Psc | KY | Interventional Pain Medicine Physician | $0 | $12.4M |
| Big Smiles Kentucky Psc | KY | Dentist | $0 | $12.3M |
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