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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Carnes
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    Paul Carnes — Billing Profile & Reimbursement Data

    NPI 1417940990 · Raleigh, NC · Pain Medicine (Anesthesiology) Physician

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    Paul Carnes is a pain medicine (anesthesiology) physician provider located in Raleigh, North Carolina. This profile covers 35 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Carnes
    Address1520 Sunday Dr
    CityRaleigh
    StateNC
    ZIP27607
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedAugust 30, 2005

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

    Payer SourceTotal Paid
    Medicare$436.5K
    Medicaid$0

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7999Compounded drug, not otherwise classified40$3,610$158.6K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).150$240$34.1K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…90$240$21.3K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…130$160$20.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$460$20.1K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…90$200$16.9K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…310$40$13.7K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$440$13.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…70$190$12.6K
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.300$40$11.1K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483348070$240$291.1K
    80307293380100$60$35.4K
    644836525060$190$20.4K
    J799971050$390$19.3K
    646355917030$350$16.3K
    644936922050$160$9.9K
    6463395020$360$8.9K
    646367615040$170$8.6K
    6440031070$80$8K
    270961620040$120$7.2K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John ScagnelliNCNeurology Physician$829.8K$0
    Rhonda GabrNCNeurology Physician$751.7K$0
    Casey JeffreysNCNeurology Physician$560.8K$0
    David KonancNCNeurology Physician$533.3K$0
    Pavan YerramsettyNCPain Medicine (Psychiatry & Neurology) Physician$521.7K$0
    Kenneth CarnesNCNeurology Physician$440.6K$0
    Rukmini MenonNCNeurology Physician$390.4K$0
    Bradley RobottomNCNeurology Physician$370.7K$0
    Sommer PhilipsNCNeurology Physician$364.9K$0
    William FerrellNCNeurology Physician$346.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Society Of North Carolina, Inc.NCCommunity/Behavioral Health Agency$0$95.7M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$24.8M
    Nc Dept Of Health And Human ServiceNCClinical Medical Laboratory$0$16.4M
    Jeffers Mann & Artman Pediatric & Adolesent Medicine PANCPediatric Adolescent Medicine Physician$0$10.9M
    Pediatric Therapy AssociatesNCPhysical Therapist$0$10.2M
    Blue Ridge Day Surgery Center, LPNCAmbulatory Surgical Clinic/Center$1.6M$2.2M
    John ThordsenNCRetina Specialist (Ophthalmology) Physician$3.5M$0
    Rebecca ManningNCRetina Specialist (Ophthalmology) Physician$3.4M$0
    Sachin MudvariNCRetina Specialist (Ophthalmology) Physician$3.2M$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. North Carolina Distribution
    Paul Carnes — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina