MARK KOWALL, M.D.
Orthopaedic Surgery Physician · TEMPLETON, CA
Individual Active NPI 1750455507
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 360 | 1,948 | $678,986 | $204,257 | $155,415 |
| 2023 | 354 | 3,168 | $706,831 | $219,010 | $165,780 |
| 2022 | 399 | 3,161 | $693,453 | $234,760 | $177,809 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 243 | $93 | $68 |
| 20610 | Aspiration and/or injection of fluid from large joint | 191 | $66 | $50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 174 | $1 | $1 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 172 | $131 | $94 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 109 | $114 | $78 |
| 73564 | X-ray of knee, 4 or more views | 98 | $51 | $39 |
| 73560 | X-ray of knee, 1-2 views | 85 | $36 | $26 |
| 73030 | X-ray of shoulder, minimum of 2 views | 45 | $37 | $28 |
| 73020 | X-ray of shoulder, 1 view | 39 | $23 | $16 |
| 72170 | X-ray of pelvis, 1-2 views | 31 | $30 | $20 |
| 27447 | Replacement of knee joint, both sides of knee | 27 | $1,264 | $996 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 19 | $1,067 | $848 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | G74354 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.