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    OpenPayerNPI Medicare & MedicaidWilliam Carter
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    William Carter — Billing Profile & Reimbursement Data

    NPI 1083795116 · Portsmouth, NH · Emergency Medicine Physician

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    William Carter is a emergency medicine physician provider located in Portsmouth, New Hampshire. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Carter
    Address333 Borthwick Ave
    CityPortsmouth
    StateNH
    ZIP03801
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedOctober 17, 2006

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

    Payer SourceTotal Paid
    Medicare$44.2K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$50$16.2K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.170$50$7.9K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.70$90$6.8K
    99203The provider sees a new 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 provider…60$70$3.8K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$140$3.4K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…100$30$2.8K
    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…20$80$1.3K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.20$60$1.2K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…50$20$960

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285275300100$130$16.9K
    992142,9303,150110$80$13.2K
    11042114070$60$9.9K
    992132632,90070$50$6.9K
    9928413530060$90$6.8K
    97597143090$30$4.1K
    992032361,01030$70$3.3K
    11045610100$20$2.2K
    992839717020$50$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clearchoicemd, PLLCVTUrgent Care Clinic/Center$0$10.8M
    Pursuecare, LLCCTAddiction Medicine (Preventive Medicine) Physician$0$9.8M
    Lucas WilmoreTNAddiction Medicine (Family Medicine) Physician$4.4K$4.6M
    Steven GraffRIOrthopaedic Hand Surgery Physician$67.7K$798.6K
    Salman GhiasuddinMAInterventional Cardiology Physician$561.3K$0
    Borthwick Emergency Physicians, LLCNHEmergency Medicine Physician$0$523.4K
    Elisabeth MatsonNHRheumatology Physician$387.1K$0
    E. William JohnsonNHUrology Physician$364.3K$0
    Simon GreenbaumNYOrthopaedic Surgery Physician$348.5K$0
    Owascoag Emergency Physicians LLCNHEmergency Medicine Physician$0$344.8K

    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. New Hampshire Distribution
    William Carter — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire