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    OpenPayerNPI Medicare & MedicaidRicardo Carter
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    Ricardo Carter — Billing Profile & Reimbursement Data

    NPI 1669457065 · Lewistown, PA · Hematology & Oncology Physician

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    Ricardo Carter is a hematology & oncology physician provider located in Lewistown, Pennsylvania. This profile covers 20 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
    OrganizationRicardo Carter
    Address310 Electric Ave Ste 231
    CityLewistown
    StatePA
    ZIP17044
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedDecember 8, 2005

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

    Payer SourceTotal Paid
    Medicare$299.2K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg10,680$20$192.2K
    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…530$60$32.6K
    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…130$100$12.5K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.180$50$9.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…100$100$9.6K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…660$10$8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…120$60$7.3K
    96409In this procedure, the provider administers the chemotherapy drug using an intravenous push technique. Use this code when the provider administers a single or initial drug.90$80$6.6K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…190$20$4.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$3.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897575302,460$20$89.6K
    96413175300140$100$19.8K
    992149,80823,230100$80$14.5K
    9640169190140$60$12.8K
    992323,98710,87080$60$9.6K
    9921389722,37070$60$7.7K
    9636747120160$20$5K
    992049,76910,29030$110$5K
    992223,0507,85030$100$4.3K
    9640911050$80$3.9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Geisinger Pharmacy LLCPAPharmacy$0$26.7M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Geisinger Bloomsburg HospitalPAGeneral Acute Care Hospital$0$7.2M
    Geisinger Wyoming Valley Medical CenterPAGeneral Acute Care Hospital$0$7M
    Geisinger ClinicPAAddiction (Substance Use Disorder) Psychologist$0$5.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger Lewistown HospitalPAGeneral Acute Care Hospital$0$9.7M
    Peerstar Advocacy Alliance LLCPACommunity/Behavioral Health Agency$0$5.7M
    Fame Emergency Medical Services IncPALand Ambulance$466.1K$1.8M
    Scott MarlowePADiagnostic Ultrasound Physician$468.7K$60
    Drew CornwellPAPain Medicine (Anesthesiology) Physician$99.4K$0
    Shannon JohnsonPASpeech-Language Pathologist$76.6K$0
    Siddharth BadvePAOrthopaedic Surgery Physician$67.5K$0
    Paul NancollasPAOphthalmology Physician$63.2K$130
    Karina HenriquezPAHospitalist Physician$55.5K$0
    Robert UedaPADiagnostic Radiology Physician$49.4K$90

    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. Pennsylvania Distribution
    Ricardo Carter — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania