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

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

Susanne Carmack (NPI 1811174824)

Field	Value
Entity Type	Individual
Organization	Susanne Carmack
Address	406 Black Hills Ln Sw Ste A
City	Olympia
State	WA
ZIP	98502
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	January 22, 2008

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

SUSANNE CARMACK (Anatomic Pathology & Clinical Pathology Physician) has $1.8M in reported lifetime Medicare revenue and no Medicaid billing on file, making her practice effectively single-payer Medicare in scale. The absence of any Medicaid claims suggests limited participation in Medicaid-covered testing or that Medicaid billing is routed through another entity rather than this NPI.

Revenue is concentrated in a small set of routine lab services: the precomputed top three Medicare codes (36415, 80053, 80061) account for 37.6% of total Medicare revenue. Individually these codes contributed $275.9K (17.0%) for 36415, $194.5K (12.0%) for 80053, and $140.8K (8.7%) for 80061, indicating a heavy reliance on venipuncture and common chemistry/lipid panels for revenue.

The code mix is consistent with a high-volume clinical laboratory and phlebotomy operation rather than a practice focused exclusively on subspecialty surgical pathology. Heavy utilization of 36415 (venipuncture) alongside high volumes of CMP (80053), lipid panels (80061), CBCs (85025), TSH (84443) and metabolic-related assays points to routine outpatient specimen collection and automated lab testing as primary service lines, while the presence of 88305 indicates some level of surgical pathology sign-out activity.

36415 is a notable statistical outlier for this provider: it ranks #89 of 86467 providers nationally (100th percentile) and is explicitly described as "notably above typical national volume" for this code. In addition, multiple high-volume common lab codes (80053, 80061, 85025, 84443, 82306, 83036 and others) sit at the 99–100th percentile nationally, which characterizes the provider as an unusually large processor of routine Medicare lab tests relative to peers.

By contrast, pathologist-level procedural revenue (88305) is present but less dominant: 88305 generated $47.4K (2.9% of Medicare revenue) and ranks #1944 of 14580 providers nationally (87th percentile). This suggests the provider performs surgical pathology work but that it is a modest component of total Medicare billing compared with high-volume chemistry and hematology testing.

Public-health screening and specialty assays are also meaningful contributors: G0472 (Hepatitis C antibody screening) produced $39.7K (2.4% of Medicare revenue) and ranks #40 of 654 providers nationally (94th percentile), indicating above-average activity in hepatitis C screening among peers. Similarly, tests like 82306 (vitamin D, $112K, 6.9%) and 83970 (PTH, $83.2K, 5.1%) show notable revenue share for endocrine and bone-mineral related diagnostics.

The provider’s NPI tenure (enumerated 2008-01-22, ~18 years ago) indicates a long-established billing history with Medicare, which supports the plausibility of sustained, high-volume laboratory relationships and referral pipelines. Long tenure combined with concentrated Medicare revenue suggests operational stability but also potential exposure if payer sourcing shifts.

For payer and network planning, this profile signals a high-value Medicare lab partner for routine outpatient testing but limited Medicaid exposure: contracting or capacity analyses should account for the provider’s outsized role in venipuncture and automated panel testing (many codes at 99–100th percentile) while recognizing that Medicaid-related volume is absent from these billing records.

Medicare: Complete Services Breakdown

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

115 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	34,480	$10	$275.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,450	$10	$194.4K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	10,830	$10	$140.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	17,520	$10	$140.2K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	8,550	$20	$136.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	3,860	$30	$112K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	2,080	$40	$83.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	7,840	$10	$78.4K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	3,850	$20	$57.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,760	$30	$47.4K

Showing 1–10 of 115

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 115 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Susanne Carmack — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

115 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	48	340	530	$40	$39.4K
87631	6	20	20	$140	$32K
83880	4	30	60	$40	$22.7K
84403	4	20	70	$30	$20.5K
82670	6	10	100	$30	$17.3K
83970	3	80	40	$40	$17K
82306	3	170	30	$30	$10.4K
G0475	3	10	30	$20	$10.3K
87389	9	10	90	$20	$9.6K
88341	72	220	250	$30	$9.4K

Showing 1–10 of 115

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$162.2M
Multicare Health System	WA	Children's Hospital	$0	$108.4M
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Family Medicine Physician	$0	$75M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Multicare Health System	WA	Internal Medicine Physician	$0	$46.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$30.9M
Multicare Health System	WA	Pediatrics Physician	$0	$29.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$17M
Northwest Resources Ii	WA	Addiction (Substance Use Disorder) Counselor	$0	$15.4M
Capital Anesthesia, LLC	WA	Certified Registered Nurse Anesthetist	$0	$15.2M
Olympia Orthopaedic Associates PLLC	WA	Ambulatory Surgical Clinic/Center	$6M	$6.8M
Pathways Mental Health Services	WA	Mental Health Counselor	$0	$3.1M
Joseph Ye	WA	Medical Oncology Physician	$2.5M	$0
Linli Xuan	WA	Hematology & Oncology Physician	$1M	$0
Olympia Multi-specialty Clinic Ambulatory Procedures Cntr PLLC	WA	Ambulatory Surgical Clinic/Center	$917.6K	$90.6K
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0
Min Kang	WA	Hematology & Oncology Physician	$687.5K	$0

Susanne Carmack — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References