Physician

Susan M Fowell, MD

According to 2025 Medicare claims, Susan Fowell, MD (NPI: 1821091075) practices ophthalmology in the Rockford, IL market, with the plurality of this provider's patient population coming from Winnebago, IL. This provider's primary affiliated billing organization is NORTHERN ILLINOIS RETINA LTD (NPI: 1942483664; TIN: 363734974) and primary practice location at 61107-3879.

Fowell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 622 traditional Medicare patients, billed 41,538 HCPCS/CPT codes, and received $2,910,311 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 1,448 prescription claims across 258 beneficiaries totaling $392,070 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 12 records totaling $387. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $302,890 to $392,070. 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$1.7M$3.3M2015 Medicare payment: $2,216,980 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,540,548 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,984,468 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,035,284 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,321,880 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,768,432 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,090,608 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,982,724 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,728,372 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,910,311 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201584017,013$2,216,980
201687318,378$2,540,548
201795617,862$2,984,468
201886816,544$3,035,284
201986217,173$3,321,880
202072214,068$2,768,432
202171214,586$3,090,608
202267214,084$2,982,724
202363217,417$2,728,372
202462241,538$2,910,311

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$205K$410K2015 Drug cost: $302,890 (USD; Tot_Drug_Cst)2016 Drug cost: $232,135 (USD; Tot_Drug_Cst)2017 Drug cost: $220,283 (USD; Tot_Drug_Cst)2018 Drug cost: $247,201 (USD; Tot_Drug_Cst)2019 Drug cost: $272,446 (USD; Tot_Drug_Cst)2020 Drug cost: $302,079 (USD; Tot_Drug_Cst)2021 Drug cost: $327,965 (USD; Tot_Drug_Cst)2022 Drug cost: $402,904 (USD; Tot_Drug_Cst)2023 Drug cost: $409,982 (USD; Tot_Drug_Cst)2024 Drug cost: $392,070 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152731,604$302,890
20162411,338$232,135
20172241,240$220,283
20182311,228$247,201
20192241,242$272,446
20202191,134$302,079
20212271,137$327,965
20222491,304$402,904
20232621,348$409,982
20242581,448$392,070

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
67028Injection of drug into eye3042,285$90
92014Established patient complete exam of visual system448557$90
92012Established patient problem focused exam of visual system244749$70
92134Imaging of retina5132,533$31
92133Imaging of optic nerve215230$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ProlensaBromfenac Sodium69322,855$311,629
Bromfenac SodiumBromfenac Sodium892,585$18,969
Alphagan PBrimonidine Tartrate462,668$17,475
LumiganBimatoprost492,036$16,258
Brimonidine TartrateBrimonidine Tartrate321,570$2,759

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.12$387Regeneron Healthcare Solutions, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Susan M. Fowell, MD?

Tedicare shows public-source Medicare data for Susan M. Fowell, MD (NPI 1821091075), 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 Susan M. Fowell, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Susan M. Fowell, MD?

Susan M. Fowell, MD is linked to NORTHERN ILLINOIS RETINA LTD (billing NPI 1942483664) in the available physician profile data.

Does Susan M. Fowell, MD have Open Payments data?

Susan M. Fowell, MD has 12 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.