Cowan, Robert

Cowan, Robert was paid $71K by Medicaid between Jan 2018 and Apr 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoCOWAN, ROBERT
SPRINGFIELD, MA 01107

33aNPI1003834490assigned 07/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$71K

24GClaims1,225

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#25 of 166

Median peer was paid$10K

This provider vs. median7.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	267	$15K
2019	267	$15K
2020	195	$11K
2021	262	$16K
2022	153	$9K
2023	50	$3K
2024incomplete	31	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	84%	1,060	1,037	$60K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	9.9%	84	83	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.3%	36	36	$3K
73630		<1%	30	25	$707.70
72100		<1%	15	15	$430.73

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.