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    OpenPayerNPI Medicare & MedicaidTony Carey
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    Tony Carey — Billing Profile & Reimbursement Data

    NPI 1053456970 · Taft, CA · General Practice Physician

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    Tony Carey is a general practice physician provider located in Taft, California. This profile covers 7 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTony Carey
    Address422 Center St
    CityTaft
    StateCA
    ZIP93268
    TaxonomyGeneral Practice Physician
    NPI EnumeratedFebruary 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$322.1K
    Medicare$53.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…460$90$40.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…720$10$7.9K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,220$1$2.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$60$2K
    J2550Injection, promethazine hcl, up to 50 mg100$1$200
    J0696Injection, ceftriaxone sodium, per 250 mg1,990$0$0
    J1885Injection, ketorolac tromethamine, per 15 mg570$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,75637,970120$90$23.2K
    9921326,22034,66080$70$13.2K
    963721364,96050$10$1.5K
    J3301653,290130$1$290
    J255011040$1$100
    J1885541,04060$1$70
    J0696269080$1$60

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,240$90$291.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…3,130$1$12.5K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,140$10$10.2K
    J0696Injection, ceftriaxone sodium, per 250 mg1,380$10$8.3K
    J1885Injection, ketorolac tromethamine, per 15 mg250$1$760
    3074FNo Summary found for this code960$0$0
    3078FNo Summary found for this code40$0$0
    3079FNo Summary found for this code880$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications1,270$0$0
    J2550Injection, promethazine hcl, up to 50 mg50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,07613,300640$40$169.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…4162,380350$20$50.3K
    J1885Injection, ketorolac tromethamine, per 15 mg6481,130420$10$16.1K
    J0696Injection, ceftriaxone sodium, per 250 mg263790320$10$12.2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg125780140$10$4.5K
    J2550Injection, promethazine hcl, up to 50 mg8813090$10$1.8K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications145920220$1$1.3K
    3074FNo Summary found for this code1,0913,010450$1$360
    3078FNo Summary found for this code2,5623,040460$1$230
    3079FNo Summary found for this code6042,080250$1$100

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Tony Carey, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vinh-linh NguyenCAHematology & Oncology Physician$11.5M$0
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Amiel MoshfeghCAVascular & Interventional Radiology Physician$7.6M$0
    Alessandro CastellarinCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Khaled TawansyCAOphthalmology Physician$2.8M$2.4M
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Dante PieramiciCARetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel TaheriCADermatology Physician$3.3M$7.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Tony Carey — 3 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Tony Carey — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California