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

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

Kenneth Carson (NPI 1720264898)

Field	Value
Entity Type	Individual
Organization	Kenneth Carson
Address	675 N Saint Clair St Ste 21-100
City	Chicago
State	IL
ZIP	60611
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	January 18, 2008

Payer Source	Total Paid
Medicare	$692.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	5,040	$40	$191.5K
J9271	Injection, pembrolizumab, 1 mg	4,400	$40	$189.2K
J9299	Injection, nivolumab, 1 mg	7,060	$20	$169.3K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1,930	$40	$69.5K
99232	The 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…	230	$70	$14.9K
96413	Chemotherapy 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	$110	$11.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$100	$8.2K
J9041	Injection, bortezomib, 0.1 mg	1,050	$10	$5.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$150	$5.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$180	$4.4K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Kenneth Carson — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	94	110	11,600	$40	$564.2K
J9144	38	50	7,740	$40	$341.8K
J9299	24	30	9,570	$20	$305.2K
J1569	35	50	2,730	$40	$143K
96413	199	370	130	$100	$19.3K
99233	3,232	5,990	100	$100	$18.7K
99214	16,014	18,540	110	$80	$17.1K
99232	2,019	7,960	90	$60	$12.4K
G0498	67	70	50	$200	$12K
99215	3,494	6,240	40	$120	$10.1K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Bone	IL	Gastroenterology Physician	$1.8M	$28.2M
Jennifer Bellucci Jackson	IL	Family Medicine Physician	$260.2K	$18.9M
Gregory Retzinger	OH	Clinical Pathology/Laboratory Medicine Physician	$43K	$12.9M
Kevin Mccune	IL	Family Medicine Physician	$0	$9.6M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Guillermo Font	IL	Maternal & Fetal Medicine Physician	$0	$4.9M
Veronika Kroin	IL	Pediatrics Physician	$0	$4.7M
Jonathan Parker	IL	Family Medicine Physician	$356.8K	$4.3M
Aaron Weinberg	IL	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.2M
Ajay Patel	IL	Anatomic Pathology & Clinical Pathology Physician	$65.4K	$4.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ann & Robert H. Lurie Children's Hospital Of Chicago	IL	Children's Hospital	$0	$7.1M
Rehabilitation Institute Of Chicago	IL	Rehabilitation Hospital	$0	$7M
Integrated Rehab Consultants LLC	IL	Physical Medicine & Rehabilitation Physician	$0	$4.3M
Mary Mulcahy	IL	Medical Oncology Physician	$3.2M	$51.3K
Rukhsana Mirza	IL	Ophthalmology Physician	$1.8M	$276.8K
Jayesh Mehta	IL	Hematology (Internal Medicine) Physician	$1.9M	$204.4K
Sheetal Kircher	IL	Medical Oncology Physician	$1.6M	$6.7K
Manjot Gill	IL	Ophthalmology Physician	$1.4M	$240.5K
Arthur Mandelin	IL	Rheumatology Physician	$1.2M	$361.3K
Jaideep Sohi	IL	Nuclear Radiology Physician	$1.5M	$6.9K

Kenneth Carson — Billing Profile & Reimbursement Data

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Kenneth Carson — 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