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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJessica Carter
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    Jessica Carter — Billing Profile & Reimbursement Data

    NPI 1295096352 · Charleston, SC · Anesthesiology Physician

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    Jessica Carter is a anesthesiology physician provider located in Charleston, South Carolina. This profile covers 18 Medicare and 2 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
    OrganizationJessica Carter
    Address169 Ashley Ave
    CityCharleston
    StateSC
    ZIP29425
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 6, 2012

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

    Payer SourceTotal Paid
    Medicare$32.4K
    Medicaid$7.1K

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.50$140$6.7K
    01638The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.20$170$3.3K
    00670The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…10$210$2.8K
    00840The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$130$2.3K
    01610The provider performs anesthesia services for a patient undergoing any procedure of the nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.20$110$2.1K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.10$140$2K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…30$50$1.6K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…20$90$1.4K
    00860The provider performs anesthesia services for an extraperitoneal procedure in lower abdomen, including the urinary tract.10$110$1.4K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…30$50$1.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0067012016020$240$4.8K
    014021938020$140$3.3K
    0081155974020$70$3.2K
    0163885010$170$2.7K
    0081331037020$90$2.6K
    0081219641020$70$2.6K
    0073127885020$70$2.6K
    012149017020$140$2.6K
    008405415020$130$2.3K
    0192215221020$80$2.1K

    Showing 1–10 of 18

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01967The provider performs neuraxial  anesthesia services for a patient undergoing a planned vaginal delivery.10$410$5.7K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…20$90$1.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01967The provider performs neuraxial  anesthesia services for a patient undergoing a planned vaginal delivery.3330250$360$227.9K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…101030$50$6.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Pavan TelangALPain Medicine (Anesthesiology) Physician$528.4K$0
    Courtney AumanNCPain Medicine Physician$395.2K$2.9K
    Jose Avila CallesNCAnesthesiology Physician$354.6K$0
    Kirk HarumNCPain Medicine (Anesthesiology) Physician$337.9K$790
    Benjamin WallNCPain Medicine (Physical Medicine & Rehabilitation) Physician$318.5K$0
    Zachary KitchenNCPain Medicine (Anesthesiology) Physician$301.2K$290
    Peter GemelliNCPhysical Medicine & Rehabilitation Physician$292.8K$0
    Angelo TellisNCPain Medicine (Physical Medicine & Rehabilitation) Physician$265.6K$430
    Joey ThomasNCPain Medicine (Anesthesiology) Physician$251.6K$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. South Carolina Distribution
    Jessica Carter — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Jessica Carter — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina