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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephanie Carter
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    Stephanie Carter — Billing Profile & Reimbursement Data

    NPI 1104888973 · Alexandria, VA · Internal Medicine Physician

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    Stephanie Carter is a internal medicine physician provider located in Alexandria, Virginia. This profile covers 50 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
    OrganizationStephanie Carter
    Address8109 Hinson Farm Rd
    CityAlexandria
    StateVA
    ZIP22306
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 5, 2006

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

    Payer SourceTotal Paid
    Medicare$367.3K
    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.

    50 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…900$100$91.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330$140$47.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…760$50$38.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…620$40$25.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…230$90$19.4K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.320$50$14.4K
    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…220$70$14.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…40$280$12.4K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.60$130$7.2K
    84481The lab analyst performs a test to measure free T3 in patient blood.410$20$6.9K

    Showing 1–10 of 50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    50 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306558580300$80$26.2K
    9921460112,890140$80$21K
    9949068510130$50$15.5K
    9132051191070$130$15K
    G04391872,96080$120$14.7K
    9945472210220$40$13.6K
    99483264050$170$11K
    9945716220220$40$10.3K
    992132,94412,44090$60$10K
    992152,3824,03040$120$9.5K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group, LLCVAInternal Medicine Physician$0$81.2M
    Robert BrennanVAInfectious Disease Physician$15.9M$0
    Adebowale PrestMDFamily Medicine Physician$2.8M$0
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1.9M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Glenda MccarterMDNurse Practitioner$1.3M$0
    Marilyn ChengotNYCardiovascular Disease Physician$909.9K$15.1K
    Momodu JackDCGastroenterology Physician$25K$759K
    Anish DesaiMDPulmonary Disease Physician$302.4K$374.2K
    Christopher VaccariMDCardiovascular Disease Physician$675.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$39.3M
    Access Home Care, IncVAHome Health Agency$0$25.5M
    Neighborhood HealthVAFederally Qualified Health Center (FQHC)$0$5.8M
    Soren CaffeyVAHematology & Oncology Physician$1.1M$0
    Mark SchefkindVAOphthalmology Physician$641.8K$0
    Kevin FrickaVAAdult Reconstructive Orthopaedic Surgery Physician$481K$0
    William HamiltonVAAdult Reconstructive Orthopaedic Surgery Physician$396.6K$0
    Ramatia MahboobiVAPain Medicine (Anesthesiology) Physician$393.8K$0
    Christina BraunVASpecialist$392.9K$0
    Carleen TylendaVAInternal Medicine Physician$383.8K$0

    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. Virginia Distribution
    Stephanie Carter — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia