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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Peter Carroll (NPI 1366461667)

Field	Value
Entity Type	Individual
Organization	Peter Carroll
Address	1600 Divisadero St Fl 3
City	San Francisco
State	CA
ZIP	94115
Taxonomy	Urology Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$115.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	70	$1,050	$72.7K
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…	290	$50	$15.6K
99203	The provider sees a new 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 provider…	140	$70	$9.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	90	$60	$5.4K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	20	$300	$5.3K
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…	60	$80	$4.5K
99204	The provider sees a new 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 provider…	20	$120	$1.8K
99443	N/A	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Peter Carroll — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	26,196	37,970	120	$90	$23.2K
55866	1	70	20	$770	$17.8K
52000	294	720	70	$180	$16K
99213	6,380	34,660	80	$70	$13.2K
99204	16,285	19,360	40	$120	$7.2K
99443	2,345	2,710	30	$90	$5.8K
99203	1,095	12,740	30	$80	$4.6K
38571	18	40	20	$220	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rahul Khurana	CA	Ophthalmology Physician	$2.3M	$1.8M
David Carlson	CA	Nuclear Medicine Physician	$2.6M	$0
Subhransu Ray	CA	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
David Portier	CA	Hospitalist Physician	$1.8M	$0
H. Mcdonald	CA	Specialist	$1.8M	$0
Soraya Rofagha	CA	Ophthalmology Physician	$1.6M	$0
Henry Aryan	CA	Neurological Surgery Physician	$1.6M	$0
Greg Morganroth	CA	Dermatology Physician	$1.4M	$0
Kent Adler	CA	Hematology & Oncology Physician	$1.3M	$0
Bradley Ekstrand	CA	Hematology & Oncology Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allied Medical Service Of Calif Inc	CA	Ambulance	$1.9M	$15.5M
Ucsf Dermatopathology Service	CA	Dermatopathology Physician	$5.4M	$1.2M
Presidio Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$0
Ari Baron	CA	Specialist	$1.2M	$0
Jason Bailey	CA	Diagnostic Radiology Physician	$848.4K	$20
Scott So	CA	Ophthalmology Physician	$472.3K	$0
Anita Demas	CA	Internal Medicine Physician	$468.2K	$0
James Greenberg	CA	Internal Medicine Physician	$465.2K	$980
Inessa Svidler	CA	Internal Medicine Physician	$283.9K	$26.8K
Bruce Brent	CA	Cardiovascular Disease Physician	$298.6K	$0

Peter Carroll — Billing Profile & Reimbursement Data

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Peter Carroll — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References