Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Timothy Carrabine (NPI 1215015870)

Field	Value
Entity Type	Individual
Organization	Timothy Carrabine
Address	3838 Massillon Rd
City	Uniontown
State	OH
ZIP	44685
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider’s billing profile is effectively single‑payer: Total Medicare revenue is $1.8M while Total Medicaid revenue is none (no Medicaid billing on file), indicating the practice’s Medicare activity drives nearly all reported public-payer receipts. Analysts should treat this entity as Medicare-dependent when assessing payer mix and market exposure.

The practice’s service mix is dominated by high-volume biologic infusions: J2350 (ocrelizumab) and J2323 (natalizumab) together account for the bulk of clinical activity, and the presence of 96365 (initial IV infusion) supports an infusion-centric operating model. Specific volumes—J2350 at 22.2K claims and J2323 at 48.3K claims—plus the infusion CPT 96365 (166 claims) align with an operation focused on outpatient administration of specialty neurologic/biologic therapies rather than routine primary-care office visits.

Revenue concentration is extreme: the precomputed top-three codes account for 99.1% of this provider’s total Medicare revenue, with J2350 contributing $932.4K (52.4% of Medicare revenue) and J2323 contributing $821.2K (46.2%). This two-drug concentration creates tight exposure to utilization and reimbursement patterns for those specific agents and suggests limited diversification across other Medicare-reimbursed services.

Competitive standing on the two primary drugs is above median but not dominant nationally: J2350 ranks #22 of 105 providers (80th percentile; characterized as typical, unremarkable volume) and J2323 ranks #9 of 40 providers (79th percentile; characterized as typical, unremarkable volume). In short, the provider is an active participant in national utilization for these agents but is described in the data as operating at a typical, not exceptional, volume level relative to peers.

Traditional evaluation-and-management and oncology administration codes produce minimal Medicare revenue here: 99214 generated $6K (71 claims) and 99213 generated $1.1K (30 claims), while chemotherapy-related codes such as 96413 and 96415 together contribute only small amounts. These small E/M and chemotherapy payments indicate the practice has relatively low office-visit and non-infusional oncology revenue compared with its biologic infusion activity, reinforcing the interpretation of an infusion-focused service line.

Payment-per-claim signals and claim counts are informative for operational interpretation: J2350 shows $42 avg paid/claim and J2323 $17 avg paid/claim, producing substantial revenue totals ($932.4K and $821.2K) driven by very large claim volumes rather than high per-claim payments. This pattern is consistent with unit- or milligram-based billing for high-volume biologic drugs and suggests operational emphasis on throughput and supply/administration logistics.

The provider’s NPI tenure is long-standing—NPI enumerated (registered) 2006-11-01 (~20 years ago)—which supports an interpretation of an established practice or referral footprint for infusion services. Given the long enrollment period combined with the concentrated revenue profile, the entity appears to have sustained a focused infusion business over time rather than representing a new or transient billing pattern.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2350	Injection, ocrelizumab, 1 mg	22,200	$40	$932.4K
J2323	Injection, natalizumab, 1 mg	48,310	$20	$821.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	170	$50	$7.8K
99214	The 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…	70	$80	$6K
96413	Chemotherapy 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…	70	$70	$5K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	150	$20	$2.9K
99213	The 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…	30	$40	$1.1K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	180	$1	$720
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	50	$10	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Timothy Carrabine — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2323	1	10	32,550	$20	$577.5K
J2350	2	10	9,600	$40	$507.6K
96413	131	210	130	$90	$16.8K
99214	11,869	20,010	100	$70	$11.7K
99213	15,228	20,000	70	$50	$6.6K
96365	48	240	60	$40	$4.6K
96375	114	150	120	$10	$2.1K
96415	16	130	60	$20	$1.9K
J2930	3	70	30	$1	$180

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Oak Clinic	OH	Neurology Physician	$0	$14.2M
Christopher Sheppard	OH	Neurology Physician	$615.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Hospice Of Northeast	OH	Community Based Hospice Care Agency	$0	$47.5M
Comprehensive Surgical Center Of Green, LLC	OH	Ambulatory Surgical Clinic/Center	$230.5K	$136.7K
Richard Li	OH	Internal Medicine Physician	$93.8K	$0
Robert Dallara	OH	Pain Medicine (Anesthesiology) Physician	$56.8K	$0
Vimala Rapaka	OH	Pulmonary Disease Physician	$31.4K	$0
Rita Vogel	OH	Certified Registered Nurse Anesthetist	$28.5K	$0

Timothy Carrabine — Billing Profile & Reimbursement Data

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Timothy Carrabine — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References