Cowan, Marcia

Cowan, Marcia was paid $85K by Medicaid between Jan 2018 and Nov 2020, across 10 billing codes. Its largest line is 96127, — 36% of everything it billed.

33Billing provider infoCOWAN, MARCIA
TULLAHOMA, TN 37388

33aNPI1376671321assigned 03/01/2007

33bProvider typePediatric Nurse Practitioner

28Total paid$85K

24GClaims2,905

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Tennessee

Rank by total paid#29 of 70

Median peer was paid$60K

This provider vs. median1.4×

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	1,162	$35K
2019	1,279	$34K
2020	464	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96127		36%	1,346	871	$30K
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	31%	491	441	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	634	560	$22K
90460	Immunization administration through 18 years of age via any route, first or only component	5.5%	149	136	$5K
92551		<1%	66	54	$682.13
99177		<1%	67	58	$581.69
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	24	12	$126.11
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	12	$78.72
90686		0%	102	92	$0.00
3008F		0%	14	13	$0.00

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.