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

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

Kenneth Carr (NPI 1396738266)

Field	Value
Entity Type	Individual
Organization	Kenneth Carr
Address	115 Mount Pelia Rd
City	Martin
State	TN
ZIP	38237
Taxonomy	Family Medicine Physician
NPI Enumerated	August 25, 2005

Payer Source	Total Paid
Medicare	$162.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,600	$40	$59K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	660	$50	$31.9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	220	$60	$13.9K
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…	210	$60	$12.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	440	$30	$12.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	120	$100	$11.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	330	$30	$11.2K
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	$70	$4.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	300	$10	$2.4K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	20	$60	$930

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Kenneth Carr — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,529	11,370	120	$80	$16.6K
99308	77	620	150	$50	$13.7K
99213	2,278	11,030	80	$50	$8K
99305	45	200	50	$90	$7.6K
36415	917	3,310	120	$10	$3.2K
99307	12	190	50	$30	$3.2K
99231	4	1,110	40	$40	$3.1K
99212	43	2,140	30	$30	$2K
99315	52	80	20	$50	$1.9K
99221	2	440	20	$60	$1.7K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Health	TN	General Acute Care Hospital	$0	$3.9M
Martin Children's Clinic, LLC	TN	Rural Health Clinic/Center	$0	$3.9M
Northwest Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$2.9M
Air Evac Ems Inc	TN	Air Ambulance	$997.3K	$285.5K
City Of Martin Tennessee	TN	Land Ambulance	$320.2K	$338.9K
Michael Chua	TN	Physical Therapist	$235.1K	$0
Kendell Kessler	TN	Physical Medicine & Rehabilitation Physician	$194.1K	$0
Anna Hopla	TN	Nephrology Physician	$179.9K	$0
Seth Coleman	TN	Physician Assistant	$161.5K	$0
Frances Bynum	TN	Optometrist	$121.8K	$0

Kenneth Carr — Billing Profile & Reimbursement Data

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Kenneth Carr — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References