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    OpenPayerNPI Medicare & MedicaidJim Carmical
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    Jim Carmical — Billing Profile & Reimbursement Data

    NPI 1194145607 · Monticello, AR · Family Medicine Physician

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    Jim Carmical is a family medicine physician provider located in Monticello, Arkansas. This profile covers 64 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJim Carmical
    Address940 Old Warren Rd
    CityMonticello
    StateAR
    ZIP71655
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 23, 2014

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

    Payer SourceTotal Paid
    Medicare$353.8K
    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.

    64 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…1,280$80$107.8K
    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…760$60$43.4K
    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…770$40$33.3K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.420$30$13.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$120$12.4K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…220$50$10.3K
    99439The 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…280$30$9.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$120$8.7K
    99215The provider sees an established 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…60$120$7.8K
    99487The 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…80$100$7.3K

    Showing 1–10 of 64

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 64 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    64 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214964,300130$70$18.8K
    99233628960130$90$18.2K
    9949022140220$40$16.6K
    992321,0361,450130$60$14.7K
    9949182030$60$11.3K
    11102139150170$50$11.1K
    992234741,17050$120$10.6K
    G04393921,06080$90$10.1K
    992131604,180100$50$9.6K
    994392380110$30$9.3K

    Showing 1–10 of 64

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    1036FN/A20$0$0
    1159FNo Summary found for this code40$0$0
    1160FNo Summary found for this code40$0$0
    3008FNo Summary found for this code30$0$0
    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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6111,740550$30$88.8K
    3008FNo Summary found for this code119130820$1$20
    1159FNo Summary found for this code128160300$1$20
    1160FNo Summary found for this code143170410$1$1
    1036FN/A136150220$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Medicine Resources, LLPTXEmergency Medicine Physician$0$29.6M
    Samuel JurcaIDFamily Medicine Physician$24M$0
    Colbert PerezTXInterventional Cardiology Physician$2M$0
    David FilsoofCACardiovascular Disease Physician$1.3M$0
    Katan PatelTXEmergency Medicine Physician$1.3M$0
    Kishore RasamalluGAInternal Medicine Physician$1M$0
    Gregory MessnerTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$1M$0
    Christopher EasterlingTXFamily Medicine Physician$637.6K$0
    Gaurav PatelPASleep Medicine (Internal Medicine) Physician$434.8K$0
    Donald SimmonsTXFamily Medicine Physician$408.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantages Of Southeast Arkansas, Inc.ARCase Management Agency$0$26.4M
    Delta Counseling Associates IncARCommunity/Behavioral Health Agency$0$15M
    Living Hope Southeast, LLCARMental Health Counselor$0$13.2M
    Bhc Pinnacle Pointe HealthcareARAdolescent and Children Mental Health Clinic/Center$0$10M
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$4.8M
    Odyssey Healthcare Operating A, LPARHome Health Agency$0$4M
    Drew Memorial Hospital, Inc.ARGeneral Acute Care Hospital$0$3.8M
    Monticello Medical Clinic PlcARClinic/Center$0$2.3M
    Monticello Ambulance Service Inc.ARLand Ambulance$321.1K$577.4K
    Southeast Emergency Medical Service, IncARAmbulance$286K$520.6K

    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. Arkansas Distribution
    Jim Carmical — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Jim Carmical — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas