Physician

Thomas S Kowalkowski, MD

According to 2025 Medicare claims, Thomas Kowalkowski, MD (NPI: 1942296066) practices urology in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is CAMC GREENBRIER VALLEY MEDICAL CENTER INC (NPI: 1588373872; TIN: 88-4128022) and primary practice location at 25801-2812. Kowalkowski is affiliated with the ACO West Virginia (ACO ID: A3563), Vandalia Health Network (ACO ID: A4513), and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Kowalkowski's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 959 traditional Medicare patients, billed 3,002 HCPCS/CPT codes, and received $116,689 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 7,263 prescription claims across 1,399 beneficiaries totaling $506,243 in drug costs, led by Xtandi (Enzalutamide). DME data shows 90 claims. Open Payments data shows 9 records totaling $178. 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 fallen sharply in recent years, from $297,493 to $116,689. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $558 to $838.

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$157K$315K2015 Medicare payment: $297,493 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $314,915 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $304,574 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $312,517 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $261,950 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $235,327 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $255,496 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $201,134 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $42,616 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $116,689 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,61527,628$297,493
20161,70230,460$314,915
20171,57421,795$304,574
20181,52520,952$312,517
20191,54717,307$261,950
20201,40410,929$235,327
20211,35510,617$255,496
20221,1608,556$201,134
20234081,524$42,616
20249593,002$116,689

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$358K$716K2015 Drug cost: $485,608 (USD; Tot_Drug_Cst)2016 Drug cost: $455,595 (USD; Tot_Drug_Cst)2017 Drug cost: $580,066 (USD; Tot_Drug_Cst)2018 Drug cost: $564,651 (USD; Tot_Drug_Cst)2019 Drug cost: $530,318 (USD; Tot_Drug_Cst)2020 Drug cost: $683,147 (USD; Tot_Drug_Cst)2021 Drug cost: $693,837 (USD; Tot_Drug_Cst)2022 Drug cost: $715,600 (USD; Tot_Drug_Cst)2023 Drug cost: $576,028 (USD; Tot_Drug_Cst)2024 Drug cost: $506,243 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,2288,693$485,608
20161,3689,887$455,595
20171,32410,162$580,066
20181,34310,114$564,651
20191,4699,605$530,318
20201,5068,974$683,147
20211,5038,783$693,837
20221,3968,055$715,600
20231,2817,227$576,028
20241,3997,263$506,243

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$13K$26K2015 Medicare payment: $9,181 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,171 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $12,642 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $14,619 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $13,677 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $26,021 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $21,483 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $25,393 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $22,322 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $16,918 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R176$9,181
201611138$14,171
2017N/R126$12,642
2018N/R108$14,619
2019N/R86$13,677
2020N/R132$26,021
2021N/R105$21,483
2022N/R161$25,393
2023N/R139$22,322
2024N/R90$16,918

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more447551$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more554679$48
84153Psa (prostate specific antigen) measurement, total189206$18
36415Insertion of needle into vein for collection of blood sample129130$9
81003Automated urinalysis test510685$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide14420$193,930
MyrbetriqMirabegron996,618$96,127
ElmironPentosan Polysulfate Sodium341,920$35,422
TrimethoprimTrimethoprim52227,977$32,553
Tamsulosin HclTamsulosin Hcl1,604135,065$21,996

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R16$8,500
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R26$7,667
A4332Lubricant, individual sterile packet, eachNN/R24$388
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R12$207
A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, eachNN/R12$156

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$178Sumitomo Pharma America, 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 Thomas S. Kowalkowski, MD?

Tedicare shows public-source Medicare data for Thomas S. Kowalkowski, MD (NPI 1942296066), 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 Thomas S. Kowalkowski, MD have ACO affiliation data?

Thomas S. Kowalkowski, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563), Vandalia Health Network (MSSP, ACO ID A4513), and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Thomas S. Kowalkowski, MD?

Thomas S. Kowalkowski, MD is linked to CAMC GREENBRIER VALLEY MEDICAL CENTER INC (billing NPI 1588373872) in the available physician profile data.

Does Thomas S. Kowalkowski, MD have Open Payments data?

Thomas S. Kowalkowski, MD has 9 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.