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    OpenPayerNPI Medicare & MedicaidCarl Buckner
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    Carl Buckner — Billing Profile & Reimbursement Data

    NPI 1295814911 · Concord, NC · Anatomic Pathology & Clinical Pathology Physician

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    Carl Buckner is a anatomic pathology & clinical pathology physician provider located in Concord, North Carolina. This profile covers 23 Medicare and 14 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
    OrganizationCarl Buckner
    Address920 Church St N
    CityConcord
    StateNC
    ZIP28025
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedNovember 3, 2006

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

    Payer SourceTotal Paid
    Medicare$86.8K
    Medicaid$4.2K

    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
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,370$30$35.5K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…580$20$12.3K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…320$30$8.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$60$6.8K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.80$50$4.2K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…150$20$3.1K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.120$20$2.2K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…70$30$2.1K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.1K
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…60$30$1.7K

    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
    8830579440470$40$50.4K
    8834136280220$30$9.1K
    8834241320110$40$8K
    88189395050$60$7.8K
    883078823090$70$7.7K
    883127519040$50$6.5K
    881735312070$60$4.9K
    8811243150100$20$4.2K
    883605313060$40$3.5K
    883096011020$110$2.7K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…80$40$3.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.90$10$720
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…60$1$120
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…30$1$60
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…20$0$0
    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.110$0$0
    80143The lab analyst performs the technical lab test to quantify the level of acetaminophen in the patient specimen, such as serum. Acetaminophen is a medication that is an analgesic (pain reliever) and…40$0$0
    80179The lab analyst performs the technical lab test to quantify the level of salicylate in the patient specimen, such as serum. Salicylate, also known as aspirin, is a nonsteroidal anti–inflammatory drug…40$0$0
    82077The lab analyst performs the technical lab test to quantify the level of alcohol (ethanol) in the patient specimen, which could be any specimen except breath or urine, using a method such as…50$0$0
    83605The lab analyst measures the lactate, most often in a blood or plasma sample. Lactate, also known as lactic acid, is the end product of anaerobic carbohydrate metabolism produced primarily by muscle…20$0$0

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

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

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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3053601,830$40$819.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1591801,290$50$276.1K
    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.2302901,720$10$248.2K
    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…4416101,000$10$94.2K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…159170740$10$58.1K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…1211301,810$10$32.5K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1932401,370$1$30.6K
    84703The lab analyst performs a test to detect the presence of human chorionic gonadotropin, or hCG, hormone, typically in patient blood.6070770$10$23.9K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.225250500$1$14K
    83605The lab analyst measures the lactate, most often in a blood or plasma sample. Lactate, also known as lactic acid, is the end product of anaerobic carbohydrate metabolism produced primarily by muscle…7390220$10$6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan RockOHAnatomic Pathology & Clinical Pathology Physician$498.3K$0
    Cynthia WestermannOHAnatomic Pathology & Clinical Pathology Physician$432.2K$0
    Stephen WhitlatchOHSpecialist$115.7K$0
    Jay JiangOHAnatomic Pathology & Clinical Pathology Physician$74.3K$0
    Megan SmithOHAnatomic Pathology & Clinical Pathology Physician$72.8K$0
    Sean KirbyOHAnatomic Pathology & Clinical Pathology Physician$71.8K$0
    Shiyama MudaliDEAnatomic Pathology & Clinical Pathology Physician$62.1K$0
    Abraham PhilipOHAnatomic Pathology & Clinical Pathology Physician$61K$0
    Ellen KrasikOHAnatomic Pathology & Clinical Pathology Physician$50.6K$0
    Sajini MathewOHAnatomic Pathology & Clinical Pathology Physician$32.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$56.5M
    What Matters MostNCCommunity/Behavioral Health Agency$0$37.8M
    Eventus Wholehealth, PLLCNCFamily Medicine Physician$0$26.6M
    Walkers Home CareNCCase Management Agency$0$23.3M
    Greater Home Health Services LLCNCNursing Care Agency$0$13.6M
    Mcleod Centers For WellbeingNCCommunity/Behavioral Health Agency$91.3K$11.4M
    Carolinas Physicians Network IncNCPediatrics Physician$0$9.9M
    Community Specialized Services, Inc.NCFoster Care Agency$0$9.2M
    Epiphany Family Services, LLCNCCommunity/Behavioral Health Agency$0$8.7M
    The Charlotte-mecklenburg Hospital AuthorityNCPediatrics Physician$0$8.1M

    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. North Carolina Distribution
    Carl Buckner — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Carl Buckner — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina