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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Carroll
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    Douglas Carroll — Billing Profile & Reimbursement Data

    NPI 1649428277 · Johnson City, TN · Medical Physician Assistant

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    Douglas Carroll is a medical physician assistant provider located in Johnson City, Tennessee. This profile covers 22 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
    OrganizationDouglas Carroll
    Address2410 Susannah St
    CityJohnson City
    StateTN
    ZIP37601
    TaxonomyMedical Physician Assistant
    NPI EnumeratedSeptember 8, 2008

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

    Payer SourceTotal Paid
    Medicare$103.8K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg2,450$10$31.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…230$70$16.1K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,060$10$13.7K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…260$40$10.5K
    99213The 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…140$50$7.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…50$90$4.5K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.190$20$4.4K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$130$3.4K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg600$10$3K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…90$30$2.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744715928030$1,440$67.8K
    J73225201,820$10$27.7K
    J330424401,280$10$24.5K
    992143,56711,370120$80$16.6K
    992133,50711,03080$50$8K
    206101471,00070$40$5.5K
    992041,8845,49030$100$5.3K
    992222,3892,63030$90$3.9K
    992121,0622,14030$30$2K
    735626979040$20$1.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-cities Regional Emergency Physicians, PCTNEmergency Medicine Physician$0$24.7M
    Wellmont Medical Associates IncVAFamily Medicine Physician$0$24.6M
    Takoma Regional Hospital IncTNGeneral Acute Care Hospital$0$20.1M
    Western Virginia Regional Emergency Physicians, LLCVAEmergency Medicine Physician$0$15.9M
    Blue Ridge Medical Management CorporationTNFamily Nurse Practitioner$0$8M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M
    Blue Ridge Medical Management CorporationTNPediatrics Physician$0$2.9M
    Courtney PendergraftTNFamily Nurse Practitioner$2.8M$0
    Blue Ridge Medical Management CorporationTNInternal Medicine Physician$0$2.8M
    Watauga Orthopaedics PlcTNOrthopaedic Surgery Physician$0$2.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aeroflow Inc.TNDurable Medical Equipment & Medical Supplies$0$40.9M
    East Tennessee Recovery, PLLCTNAddiction Medicine (Internal Medicine) Physician$0$28.3M
    Talkback, Inc.TNSpeech-Language Pathologist$0$8.2M
    Mini Miracles Pediatric Therapy, PLLCTNEarly Intervention Provider Agency$0$7.2M
    Washington County-johnson City Emergency Medical Services IncTNLand Ambulance$1.6M$5.3M
    Lincare IncTNDurable Medical Equipment & Medical Supplies$0$4.6M
    Dragonfly Medical And Behavioral Health Professsional CorporationTNAddiction Medicine (Family Medicine) Physician$0$4.5M
    Fairview TherapyTNEarly Intervention Provider Agency$0$2.8M
    Dawn Of Hope, IncTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.8M
    Envision IncTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.5M

    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. Tennessee Distribution
    Douglas Carroll — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee