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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Vieira
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    Carlos Vieira — Billing Profile & Reimbursement Data

    NPI 1164463949 · Shelbyville, IN · Surgery Physician

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    Carlos Vieira is a surgery physician provider located in Shelbyville, Indiana. This profile covers 5 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
    OrganizationCarlos Vieira
    Address2158 Intelliplex Dr Ste 100
    CityShelbyville
    StateIN
    ZIP46176
    TaxonomySurgery Physician
    NPI EnumeratedJune 10, 2006

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

    Payer SourceTotal Paid
    Medicare$27.7K
    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.

    5 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…180$60$11.3K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.10$480$6.2K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$150$5.5K
    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…40$90$3.6K
    38500The provider performs an open excision or biopsy of the  lymph nodes lying near the surface of the body using a scalpel. The provider commonly performs this procedure to identify and diagnose the…10$90$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,08610,540110$80$15.5K
    19301485020$530$13.8K
    992132,49610,82080$50$7.6K
    3850031020$280$6.2K
    992053861,17030$140$5.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Major HospitalINGeneral Acute Care Hospital$0$14.2M
    Rush Memorial HospitalINCritical Access Hospital$0$10.7M
    Major HospitalINRural Health Clinic/Center$0$9.5M
    Major Multispecialty AssociatesINInternal Medicine Physician$0$4.8M
    Brian WiegelINDiagnostic Radiology Physician$446.5K$0
    Wesley PruettMNDiagnostic Radiology Physician$441.3K$770
    Timothy DavisINDiagnostic Radiology Physician$429.5K$0
    Ademola ObajuluwaILDiagnostic Radiology Physician$62.6K$312.3K
    Jaime AyonINHematology & Oncology Physician$342K$0
    Edward ShmuklerFLCardiovascular Disease Physician$319.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dasco-major Home Medical Equipment, LLCINOxygen Equipment & Supplies (DME)$0$8.4M
    Major HospitalINRural Health Clinic/Center$0$7.7M
    Emhardt Pediatric Dentistry LLCINPediatric Dentistry$0$2.6M
    City Of Shelbyville & Sewage Works OperatingINAmbulance$354.8K$2.1M
    Thomas WebbINVascular Surgery Physician$117.7K$0
    Kerri KissellINEndocrinology, Diabetes & Metabolism Physician$117.6K$0
    Zachary ToppeINOptometrist$106.4K$310
    Robert ShellmanINPulmonary Disease Physician$68.7K$0
    Basil HoloydaINNeurology Physician$66.9K$0
    Jonathan BielefeldINDiagnostic Radiology Physician$65.6K$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. Indiana Distribution
    Carlos Vieira — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana