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

Why is the Medicaid comparison limited to New York 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. New York (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.

Carter Hibbs (NPI 1538543285)

Field	Value
Entity Type	Individual
Organization	Carter Hibbs
Address	41 River Ter
City	New York
State	NY
ZIP	10282
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 13, 2015

Payer Source	Total Paid
Medicare	$5.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
38222	The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…	80	$50	$4.4K
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…	30	$50	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Carter Hibbs — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	25,728	31,440	80	$70	$12.1K
38222	7	200	20	$80	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nancy Tray	CA	Internal Medicine Physician	$1.1M	$0
Demetrios Panagiotou	NJ	Cardiovascular Disease Physician	$911.1K	$1.1K
Neha Mehta-shah	MO	Medical Oncology Physician	$671.5K	$0
Martin Tallman	IL	Hematology (Internal Medicine) Physician	$634.7K	$680
Tracy Proverbs-singh	NJ	Medical Oncology Physician	$485.8K	$0
Laura Tang	NY	Anatomic Pathology Physician	$215.8K	$0
William Travis	NY	Anatomic Pathology Physician	$164.9K	$0
Jinru Shia	NY	Anatomic Pathology Physician	$159.5K	$0
Carlie Sigel	NY	Anatomic Pathology & Clinical Pathology Physician	$152.4K	$0
Marc Rosenblum	NY	Anatomic Pathology Physician	$148.7K	$0

Carter Hibbs — Billing Profile & Reimbursement Data

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Carter Hibbs — 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

Frequently Asked Questions

References