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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDiane Carlson
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    Diane Carlson — Billing Profile & Reimbursement Data

    NPI 1164402152 · Boca Raton, FL · Anatomic Pathology & Clinical Pathology Physician

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    Diane Carlson is a anatomic pathology & clinical pathology physician provider located in Boca Raton, Florida. This profile covers 20 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
    OrganizationDiane Carlson
    Address800 Meadows Rd
    CityBoca Raton
    StateFL
    ZIP33486
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJanuary 18, 2006

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

    Payer SourceTotal Paid
    Medicare$148.7K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…680$70$44.2K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…770$30$25.4K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…840$30$24.3K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…730$20$16.1K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…340$30$9.5K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.100$60$5.7K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…250$20$5.5K
    88329A pathologist provides a consultation during surgery to assist the surgeon in evaluating a specimen or advising on a course of action.140$30$4.1K
    88333Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…60$50$2.7K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…50$50$2.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305356980570$40$83.5K
    8831237551070$60$24K
    8834194650260$40$20K
    88342123730130$50$16.5K
    883073490100$70$8.9K
    8833115336050$60$6.8K
    881124733090$30$6.7K
    88360630060$50$6K
    8832110916040$70$4.9K
    881735328050$60$4.7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin Memorial Medical Center IncFLGeneral Acute Care Hospital$0$26M
    Indian River Memorial Hospital IncFLGeneral Acute Care Hospital$0$9.3M
    Coastal Care CorporationFLRadiology Clinic/Center$2.7M$800
    Refat BaridiILHematology & Oncology Physician$1.7M$27.6K
    Caroline KedemFLDiagnostic Radiology Physician$1.4M$0
    Prasad ChalasaniFLCardiovascular Disease Physician$1.4M$0
    Felipe MartinezAZNuclear Medicine Physician$1.3M$0
    Amy EversoleFLCardiovascular Disease Physician$1.3M$0
    Joseph McclureFLMedical Oncology Physician$1.2M$0
    Roberto PancorboFLRheumatology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mar-j Medical Supply, Inc.FLDurable Medical Equipment & Medical Supplies$0$23.9M
    Hospice By The Sea IncFLCommunity Based Hospice Care Agency$0$9.2M
    Ernesto SegalFLSpecialist$2.7M$0
    Joseph ForstotFLRheumatology Physician$2M$0
    Boca Raton Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$1.8M$330
    David DillonFLRheumatology Physician$1.3M$0
    Daniel RudenskyFLDiagnostic Radiology Physician$1.3M$0
    Jonathan WienerFLDiagnostic Radiology Physician$1.1M$0
    Robert SarroFLDermatology Physician$1.1M$0
    Yale PollakFLDiagnostic Radiology Physician$884.2K$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. Florida Distribution
    Diane Carlson — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida