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

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

Douglas Carter (NPI 1528001401)

Field	Value
Entity Type	Individual
Organization	Douglas Carter
Address	150 W Washington St
City	Shelbyville
State	IN
ZIP	46176
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$10.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	960	$10	$5.7K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	240	$10	$2.4K
93244	After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…	110	$20	$1.9K
93248	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…	40	$20	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Douglas Carter — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93010	93	1,060	160	$10	$1.9K
93018	11	380	70	$10	$830
93248	28	100	30	$20	$730
93244	4	120	20	$20	$440

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Major Hospital	IN	General Acute Care Hospital	$0	$14.2M
Major Hospital	IN	Rural Health Clinic/Center	$0	$9.5M
Andrew Trobridge	IN	Pain Medicine (Anesthesiology) Physician	$212.9K	$0
Ramon Halum	IN	Vascular & Interventional Radiology Physician	$174.1K	$0
Kenneth Filbeck	HI	General Practice Physician	$130.5K	$0
Usman Qadeer	IL	Neurology Physician	$105.5K	$14.2K
Thomas Webb	IN	Vascular Surgery Physician	$117.7K	$0
Kerri Kissell	IN	Endocrinology, Diabetes & Metabolism Physician	$117.6K	$0
Sajjad Hussain	IN	Vascular Surgery Physician	$100.7K	$0
Nicole Bowman	IN	Family Nurse Practitioner	$48.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dasco-major Home Medical Equipment, LLC	IN	Oxygen Equipment & Supplies (DME)	$0	$8.4M
Major Hospital	IN	Rural Health Clinic/Center	$0	$7.7M
Major Multispecialty Associates	IN	Internal Medicine Physician	$0	$4.8M
Emhardt Pediatric Dentistry LLC	IN	Pediatric Dentistry	$0	$2.6M
City Of Shelbyville & Sewage Works Operating	IN	Ambulance	$354.8K	$2.1M
Jaime Ayon	IN	Hematology & Oncology Physician	$342K	$0
Zachary Toppe	IN	Optometrist	$106.4K	$310
Robert Shellman	IN	Pulmonary Disease Physician	$68.7K	$0
Basil Holoyda	IN	Neurology Physician	$66.9K	$0
Jonathan Bielefeld	IN	Diagnostic Radiology Physician	$65.6K	$0

Douglas Carter — Billing Profile & Reimbursement Data

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Douglas Carter — 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