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

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

John Carroll (NPI 1508946054)

Field	Value
Entity Type	Individual
Organization	John Carroll
Address	455 Boston Post Rd Ste 8
City	Old Saybrook
State	CT
ZIP	06475
Taxonomy	Foot Surgery Podiatrist
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicare	$106.6K
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
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…	660	$60	$42.4K
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…	220	$80	$17.5K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	320	$50	$16.4K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	230	$60	$14.4K
G0127	Trimming of dystrophic nails, any number	980	$10	$11.8K
73620	In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.	90	$20	$1.9K
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,…	30	$40	$1.3K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	10	$40	$420

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. Connecticut Distribution

John Carroll — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11056	41	140	120	$60	$13.9K
99213	121	6,440	70	$60	$8.1K
11055	7	100	60	$60	$7.7K
G0127	8	80	180	$10	$5.4K
99203	18	2,250	30	$80	$3.5K
99212	612	1,340	30	$40	$2.2K
97760	5	10	30	$40	$2.1K
73620	3	60	30	$20	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Difrancesca	CT	Podiatrist	$162.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mhs Primary Care Inc	CT	Urgent Care Clinic/Center	$0	$1.2M
Robert Edmonstone	CT	Pediatric Dentistry	$0	$1.1M
Old Saybrook Ambulance Assn Inc.	CT	Land Ambulance	$179.2K	$417.5K
Bart Muhs	CT	Vascular Surgery Physician	$572.7K	$0
Neil Becker	CT	Clinical Social Worker	$58.7K	$280.8K
Jennifer Gray	CT	Dermatology Physician	$153.5K	$0
Michelle Higginson	CT	Specialist	$147.5K	$0
Oleh Kusen	CT	Psychiatric/Mental Health Nurse Practitioner	$105.2K	$0
Callie Lamay	CT	Podiatrist	$92.4K	$0
Suzanne Tingley	CT	Family Medicine Physician	$88.7K	$0

John Carroll — Billing Profile & Reimbursement Data

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John 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