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    OpenPayerNPI Medicare & MedicaidChristopher Carter
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    Christopher Carter — Billing Profile & Reimbursement Data

    NPI 1639378250 · Bloomington, IN · Anatomic Pathology & Clinical Pathology Physician

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    Christopher Carter is a anatomic pathology & clinical pathology physician provider located in Bloomington, Indiana. This profile covers 19 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationChristopher Carter
    Address601 W 2nd St Rm 216
    CityBloomington
    StateIN
    ZIP47403
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJuly 13, 2007

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

    Payer SourceTotal Paid
    Medicare$110.8K
    Medicaid$4.3K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,740$30$45.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,710$10$29.7K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$60$7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…290$20$6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…170$30$4.5K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…120$30$3.7K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$130$2.8K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…110$20$2.2K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$1.7K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.30$50$1.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830534230700$30$39.7K
    8834175170250$30$8.4K
    8830761150100$70$7.7K
    8834275180130$40$7.2K
    G0416245020$170$5.3K
    88173769060$60$5K
    881124411080$30$3.3K
    883138411060$20$3.2K
    883129312050$40$2.9K
    88309518020$110$2.8K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.500$10$2.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…580$1$1.7K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…10$1$10

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Indiana median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1652105,200$10$83.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2072903,410$1$71.5K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1711802,810$1$14.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Clinical Practice Association IncFLSurgery Physician$0$79.3M
    Indiana University Health Southern Indiana Physicians, LLCINMulti-Specialty Clinic/Center$0$69.5M
    Centra Medical Group, LLCVAFamily Medicine Physician$0$60.1M
    Indiana University Health Bloomington IncINGeneral Acute Care Hospital$0$28.7M
    Florida Clinical Practice Association IncFLClinical Medical Laboratory$2.7M$3.1M
    Veronica PapaveroFLAnatomic Pathology Physician$3.7M$0
    Jacqueline RussoFLAnatomic Pathology & Clinical Pathology Physician$2.7M$0
    Adrian VazquezNCRheumatology Physician$1.7M$0
    Raam SambandamFLClinical Neurophysiology Physician$1.3M$0
    Siva IyerFLOphthalmology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centerstone Of Indiana, Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$318.8M
    Southern Indiana Pediatrics, LLCINPediatrics Physician$0$10.7M
    Limestone Health, LLCINMethadone Clinic$116.1K$9M
    Prime Healthcare Services - Monroe LLCINGeneral Acute Care Hospital$0$5.7M
    Hands At Home, LLCINHome Health Agency$0$4.1M
    Bloomington Pediatric Dentistry L.L.C.INPediatric Dentistry$0$3.1M
    Integ Health System, P.C.INAmbulatory Surgical Clinic/Center$1.8M$403.1K
    Joseph MackeyINOphthalmology Physician$2M$0
    Southern Indiana Surgery Center, LLCINAmbulatory Surgical Clinic/Center$1.4M$516.1K
    Warren ChangINOphthalmology Physician$1.5M$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. Indiana Distribution
    Christopher Carter — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Christopher Carter — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana