Clinic
Phillip R. Bowden, M.D.,P.A.
Phillip R. Bowden, M.D.,P.A. was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 19% of everything it billed.
33Billing provider infoPHILLIP R. BOWDEN, M.D.,P.A.
MEMPHIS, TN 38104
MEMPHIS, TN 38104
33aNPI1932216389assigned 08/23/2006
33bProvider typeClinic/Center
28Total paid$4.62M
24GClaims116,396
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Tennessee
Rank by total paid#4 of 70
Median peer was paid$72K
This provider vs. median64×
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 | 13,791 | $710K | |
| 2019 | 18,085 | $786K | |
| 2020 | 18,304 | $672K | |
| 2021 | 17,481 | $602K | |
| 2022 | 16,441 | $653K | |
| 2023 | 15,597 | $669K | |
| 2024incomplete | 16,697 | $531K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 19% | 10,014 | 8,698 | $877K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13% | 7,618 | 6,019 | $620K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 5,250 | 4,758 | $496K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 13,375 | 11,566 | $475K |
| 88312 | 7.4% | 3,948 | 3,660 | $342K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 13,069 | 11,276 | $301K |
| 00731 | 4.3% | 3,551 | 3,024 | $201K | |
| 45388 | 4.3% | 1,359 | 738 | $198K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4.2% | 4,316 | 3,953 | $195K |
| 00811 | 2.3% | 2,123 | 1,794 | $106K | |
| 00812 | 2.1% | 2,596 | 2,189 | $96K | |
| 91120 | 2.0% | 537 | 440 | $94K |
37 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 6,176 | $93K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.8% | 1,347 | $84K |
| 45384 | 1.5% | 1,678 | $71K | |
| 91122 | 1.5% | 1,075 | $71K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 972 | $63K |
| 43450 | <1% | 1,918 | $37K | |
| 99439 | <1% | 8,148 | $30K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 788 | $29K |
| 51784 | <1% | 502 | $27K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,151 | $26K |
| 99490 | Ccm add 20min | <1% | 11,715 | $24K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 179 | $11K |
| 76770 | <1% | 252 | $11K | |
| 91200 | <1% | 386 | $5K | |
| 76981 | <1% | 138 | $5K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 85 | $5K |
| 99487 | Ccm add 20min | <1% | 1,675 | $4K |
| 3008F | <1% | 1,196 | $4K | |
| 45398 | <1% | 20 | $3K | |
| 3074F | <1% | 749 | $3K | |
| 3078F | <1% | 470 | $3K | |
| 99454 | <1% | 1,365 | $3K | |
| 1159F | <1% | 345 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,795 | $2K |
| 3077F | <1% | 304 | $2K | |
| 43252 | <1% | 103 | $1K | |
| 3079F | <1% | 178 | $950.00 | |
| 99457 | <1% | 645 | $706.53 | |
| 97750 | <1% | 163 | $545.60 | |
| 97032 | <1% | 264 | $379.35 | |
| 3080F | <1% | 273 | $370.00 | |
| S0285 | Colonoscopy consultation performed prior to a screening colonoscopy procedure | <1% | 19 | $351.64 |
| 99489 | Ccm add 20min | <1% | 294 | $311.31 |
| 83014 | <1% | 91 | $269.01 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 2,053 | $79.45 |
| 99453 | <1% | 105 | $77.70 | |
| 90912 | <1% | 23 | $64.58 |
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.
From NPPES
Who's on the registration
Authorized officialEVANS, SEANDRIA (ADMINISTRATOR)