Physician

Michelle Carroll Bowman, M.D.

According to 2025 Medicare claims, Michelle Bowman, M.D. (NPI: 1699094532) practices neurology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is RIVERHILLS HEALTHCARE INC (NPI: 1205943651; TIN: 311412447) and primary practice location at 45212-2280. Bowman is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Bowman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 194 traditional Medicare patients, billed 38,686 HCPCS/CPT codes, and received $1,379,564 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,238 prescription claims across 259 beneficiaries totaling $2,549,234 in drug costs, led by Kesimpta Pen (Ofatumumab). 2020 DME data shows 12 claims. Open Payments data shows 134 records totaling $48,468. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $4,735 to $1,379,564. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $617,948 to $2,549,234. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$690K$1.4M2015 Medicare payment: $4,735 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $16,518 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $12,099 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $18,407 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $766,714 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,063,019 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $930,101 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,168,622 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $966,407 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,379,564 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153345$4,735
2016132227$16,518
2017104182$12,099
2018116511$18,407
201918332,190$766,714
202018230,248$1,063,019
202119130,296$930,101
202219034,702$1,168,622
202320832,092$966,407
202419438,686$1,379,564

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.0M$3.9M2015 Drug cost: $617,948 (USD; Tot_Drug_Cst)2016 Drug cost: $744,689 (USD; Tot_Drug_Cst)2017 Drug cost: $1,161,417 (USD; Tot_Drug_Cst)2018 Drug cost: $1,336,303 (USD; Tot_Drug_Cst)2019 Drug cost: $1,480,250 (USD; Tot_Drug_Cst)2020 Drug cost: $3,022,233 (USD; Tot_Drug_Cst)2021 Drug cost: $3,910,484 (USD; Tot_Drug_Cst)2022 Drug cost: $3,307,343 (USD; Tot_Drug_Cst)2023 Drug cost: $2,781,022 (USD; Tot_Drug_Cst)2024 Drug cost: $2,549,234 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201573408$617,948
201691579$744,689
2017124954$1,161,417
20181331,311$1,336,303
2019146939$1,480,250
20201731,668$3,022,233
20212132,037$3,910,484
20222392,142$3,307,343
20232582,113$2,781,022
20242592,238$2,549,234

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$224$4472016 Medicare payment: $447 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $83 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R12$447
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R12$83
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5776$122
96413Administration of chemotherapy into vein, 1 hour or less2531$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more79101$79
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less38128$44
96375Injection of additional new drug or substance into vein2564$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Kesimpta PenOfatumumab561,656$500,698
Avonex Pen (4 Pack)Interferon Beta-1a371,260$359,061
MayzentSiponimod18695$220,073
Avonex (4 Pack)Interferon Beta-1a26728$209,853
GammaplexImmun Glob G(Igg)/Gly/Iga 0-5030630$200,256

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$1,355TG Therapeutics, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.121$47,112Roche Products Limited
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michelle Carroll Bowman, M.D.?

Tedicare shows public-source Medicare data for Michelle Carroll Bowman, M.D. (NPI 1699094532), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michelle Carroll Bowman, M.D. have ACO affiliation data?

Michelle Carroll Bowman, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to Michelle Carroll Bowman, M.D.?

Michelle Carroll Bowman, M.D. is linked to RIVERHILLS HEALTHCARE INC (billing NPI 1205943651) in the available physician profile data.

Does Michelle Carroll Bowman, M.D. have Open Payments data?

Michelle Carroll Bowman, M.D. has 134 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.