Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Thomas Carswell (NPI 1093936049)

Field	Value
Entity Type	Individual
Organization	Thomas Carswell
Address	4153 Flat Shoals Parkway14 Greensprings Dr
City	Decatur
State	GA
ZIP	30034
Taxonomy	Pain Medicine Physician
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicare	$346.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	780	$70	$54.7K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	100	$290	$29.8K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	230	$120	$26.3K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	370	$60	$22.3K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	220	$100	$21.5K
95923	In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…	200	$100	$19.3K
64484	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…	180	$110	$19.3K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	60	$300	$17K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	70	$220	$14.6K
95921	The provider evaluates the function of the autonomic nervous system, which controls those body functions, such as heart rate, temperature regulation, and other functions that are involuntary. He uses…	200	$70	$13.6K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Thomas Carswell — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64483	143	360	70	$200	$23.7K
95957	3	10	40	$200	$10.3K
99213	327	13,360	80	$60	$9.2K
93890	1	10	70	$90	$7.7K
95923	4	50	40	$90	$7.2K
93892	1	10	70	$80	$6.8K
93886	1	10	50	$80	$6.5K
95913	1	50	20	$190	$6.3K
93893	1	10	90	$60	$6.3K
96132	27	80	40	$100	$6.2K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Thomas Carswell, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ayesha Hawkins	GA	Case Manager/Care Coordinator	$0	$284.7K
Harvey Leslie	GA	Pain Medicine Physician	$241.2K	$0
Barbara Norvell	GA	Foot & Ankle Surgery Podiatrist	$76.4K	$0
Suzette Clements	GA	Podiatrist	$39.7K	$0
Michele Sewell	GA	Internal Medicine Physician	$24.6K	$900
Paula Stephens	GA	Certified Registered Nurse Anesthetist	$24.6K	$0

Thomas Carswell — Billing Profile & Reimbursement Data

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Thomas Carswell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References