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    OpenPayerNPI Medicare & MedicaidJohn Carroll
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    John Carroll — Billing Profile & Reimbursement Data

    NPI 1770581837 · Washington, DC · Gastroenterology Physician

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    John Carroll is a gastroenterology physician provider located in Washington, District of Columbia. This profile covers 17 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
    OrganizationJohn Carroll
    Address3800 Reservoir Rd Nw
    CityWashington
    StateDC
    ZIP20007
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 13, 2005

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

    Payer SourceTotal Paid
    Medicare$102.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…100$150$15.7K
    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…100$110$10.5K
    99203The provider sees a new 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 provider…110$90$9.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.120$80$9.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$210$7.8K
    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…90$80$6.8K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…40$180$6.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$200$6.2K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…30$150$5.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$220$4.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146501,40090$100$15.3K
    45385365040$250$12.7K
    9923239764070$70$10K
    992134291,20050$70$8.5K
    4538075040$150$7.5K
    G010572020$230$7.3K
    4323955050$90$5.2K
    G012132020$220$4.9K
    4327011030$180$4.8K
    4323721030$140$4.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar - Georgetown Medical Center, Inc.DCGeneral Acute Care Hospital$0$45.6M
    Mgmc, LLCDCGeneral Practice Physician$0$18.1M
    Medstar Georgetown Medical Center, IncDCInternal Medicine Physician$0$923.4K
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0
    Fred MoDCOrthopaedic Surgery of the Spine Physician$688.8K$0
    Parham FaridDCDiagnostic Radiology Physician$642.7K$0
    Andrea SingerDCInternal Medicine Physician$608.6K$0
    Andrew MoMDOrthopaedic Surgery of the Spine Physician$540.7K$0
    Jean-marc VoyadzisMDNeurological Surgery Physician$486.7K$0
    Ryan HankinsDCUrology Physician$445K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. John's Community Services-dcDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$99M
    Mina AkhlaghiDCDentist$0$2.1M
    Anisa OmarDCOrthodontics and Dentofacial Orthopedics Dentistry$0$892K
    Siamak MajidiDCPediatric Dentistry$0$618.1K
    Sean CollinsDCRadiation Oncology Physician$444.1K$0
    Fernando PaganDCNeurology Physician$436.9K$0
    Laxman BahrooDCNeurology Physician$353.8K$0
    Brendan MerchantDCInternal Medicine Physician$346.7K$0
    Michael FabrizioDCUrology Physician$344.8K$0
    Daisy LazarousDCCardiovascular Disease Physician$331.5K$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. District of Columbia Distribution
    John Carroll — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia