Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Carey
    Ask Trek AI about this page

    Timothy Carey — Billing Profile & Reimbursement Data

    NPI 1174725345 · Gainesville, GA · Medical Oncology Physician

    Customize your policy alerts

    Sign up for Timothy Carey — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Timothy Carey is a medical oncology physician provider located in Gainesville, Georgia. This profile covers 35 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Carey
    Address725 Jesse Jewell Pkwy Se
    CityGainesville
    StateGA
    ZIP30501
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 1, 2007

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg22,800$40$980.4K
    J0897Injection, denosumab, 1 mg10,680$20$192.2K
    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$90$80.3K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units4,720$10$28.3K
    J1439Injection, ferric carboxymaltose, 1 mg27,000$1$27K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…260$90$24.3K
    99424A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which…420$60$23.5K
    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…290$60$18.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$130$14.5K
    M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services160$70$11.6K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271124015,200$40$767.3K
    J0897362902,460$20$90.2K
    J1439183028,130$1$32.3K
    J088511303,970$10$26.6K
    9641353160170$90$20.3K
    J921767120110$130$20K
    9921443713,640120$80$17.8K
    99424310130$60$13.1K
    M0010720140$70$10.8K
    96365104210110$50$10.8K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard LociceroGAMedical Oncology Physician$426.6K$0
    Andrew JohnsonGAMedical Oncology Physician$338.5K$0
    Betsy GrunchGANeurological Surgery Physician$277K$0
    Jason SnyderSCDiagnostic Radiology Physician$270.9K$0
    Shravanti MacherlaGAMedical Oncology Physician$263.5K$0
    David KimballGADiagnostic Radiology Physician$261K$0
    Richard AllenGADiagnostic Radiology Physician$234.3K$0
    Michael JonesGADiagnostic Radiology Physician$233.6K$0
    Brandon RunyanGADiagnostic Radiology Physician$226.5K$800
    Sook Kyung YoonGAPain Medicine (Physical Medicine & Rehabilitation) Physician$220.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Georgia Medical Center, Inc.GAGeneral Acute Care Hospital$0$112.9M
    Georgia Emergency Department Services, P.C.GAEmergency Medicine Physician$0$17.9M
    S.y.a.h.GAUrgent Care Clinic/Center$0$6.5M
    Pediatric Associates LLPGAPediatrics Physician$0$5M
    William ChafinGARheumatology Physician$3.3M$0
    Marta BognarGARheumatology Physician$2.3M$0
    Brent FlickingerGARheumatology Physician$2.3M$0
    Gainesville Radiology Group, PCGADiagnostic Radiology Physician$0$2M
    Hall County GeorgiaGALand Ambulance$1.6M$0
    Northeast Georgia Physicians Group Urgent Care LLCGAFamily Medicine Physician$0$1.6M

    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. Georgia Distribution
    Timothy Carey — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia