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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Carn
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    Thomas Carn — Billing Profile & Reimbursement Data

    NPI 1194774588 · Orem, UT · Family Medicine Physician

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    Thomas Carn is a family medicine physician provider located in Orem, Utah. This profile covers 23 Medicare and 1 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
    OrganizationThomas Carn
    Address575 S State St
    CityOrem
    StateUT
    ZIP84058
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 10, 2006

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

    Payer SourceTotal Paid
    Medicare$72.2K
    Medicaid$530

    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.

    23 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…330$80$24.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170$120$20.6K
    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…170$50$8.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.150$10$2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.200$10$1.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.150$10$1.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…160$10$1.3K
    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…10$100$1.2K
    G0008Administration of influenza virus vaccine60$20$1.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144604,08080$80$11.6K
    G043913699060$120$10.8K
    992151,1261,19040$110$7.5K
    992137243,68060$50$6.4K
    9066221657040$70$4.8K
    G032891020$20$4.3K
    2061040443050$40$3.4K
    8005312144060$10$2.5K
    800615931060$10$2.5K
    8444311030050$20$2.5K

    Showing 1–10 of 23

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$40$530

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.553610140$10$13.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott PetersonUTFamily Medicine Physician$66.2K$6.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Retirement, Inc.UTAssisted Living Facility$0$3.9M
    Discovery House Uc, IncUTMethadone Clinic$0$2.8M
    Advance Medical Services, IncUTOxygen Equipment & Supplies (DME)$0$1.7M
    Wasatch Behavioral Health Special Service DistrictUTClinical Medical Laboratory$0$1.2M
    Shruti SanghviUTRheumatology Physician$642.5K$6.5K
    Wilson Senior Solutions, Inc.UTIn Home Supportive Care Agency$0$476.9K
    Sandhill Operations LLCUTSubstance Abuse Rehabilitation Facility$0$369.1K
    Kimball TaylorUTPhysical Therapist$127.1K$0
    Eric FreemanUTInterventional Pain Medicine Physician$108.8K$9.1K
    Bryan HoelzerUTInterventional Pain Medicine Physician$106.2K$7.6K

    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. Utah Distribution
    Thomas Carn — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Thomas Carn — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah