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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDominick Carbone
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    Dominick Carbone — Billing Profile & Reimbursement Data

    NPI 1790767382 · Elkin, NC · Urology Physician

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    Dominick Carbone is a urology physician provider located in Elkin, North Carolina. This profile covers 21 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
    OrganizationDominick Carbone
    Address200 Johnson Ridge Medical Park
    CityElkin
    StateNC
    ZIP28621
    TaxonomyUrology Physician
    NPI EnumeratedNovember 18, 2005

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

    Payer SourceTotal Paid
    Medicare$65.5K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…280$40$12.2K
    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…100$100$10.2K
    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…110$70$7K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$430$5.1K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…30$140$4.2K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…60$70$4.2K
    52352The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$270$3.7K
    99215The 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…30$110$2.8K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…20$110$2.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,47418,060110$80$15.1K
    5200016328070$150$12.1K
    5222421020$440$10.2K
    51729263030$240$10.1K
    50590152010$480$8.7K
    992153,5465,72040$110$7.7K
    992131,83416,32070$50$7.1K
    992233,4894,58030$130$6.5K
    51728205020$190$5.8K
    992047748,43030$110$4.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bob WodeckiNCRheumatology Physician$3.1M$0
    Robert OsborneVAUrology Physician$307.6K$0
    Mark PassarellaVAUrology Physician$290.1K$0
    Julian FagerliVAUrology Physician$268.9K$0
    Charles MillerNCUrology Physician$259.4K$0
    Jerome WatsonNCPhysical Medicine & Rehabilitation Physician$249.2K$0
    Jeffrey BrinkFLOtolaryngology Physician$223.5K$0
    Matthew EskridgeNCUrology Physician$208.3K$0
    John AllanNCCardiovascular Disease Physician$205.8K$0
    George GehrkenVAUrology Physician$196.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prism Medical Products, L.L.C.NCDurable Medical Equipment & Medical Supplies$0$37M
    Hugh Chatham Memorial Hospital IncNCGeneral Acute Care Hospital$0$9.4M
    Tomas VybiralNCCardiovascular Disease Physician$310.9K$0
    Sailaja BondalapatiNCOphthalmology Physician$188.9K$0
    Andrew LeeNCDermatology Physician$188.3K$0
    Jeannette LomanNCInternal Medicine Physician$141K$0
    Murugananthan SubbiahNCInternal Medicine Physician$135.4K$0
    Steven LavineNCCardiovascular Disease Physician$111K$7.7K
    Jacqueline DarceyNCInternal Medicine Physician$68.5K$0
    Stephen WalkerNCFamily Medicine Physician$67.3K$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. North Carolina Distribution
    Dominick Carbone — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina