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    OpenPayerNPI Medicare & MedicaidTy Carter
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    Ty Carter — Billing Profile & Reimbursement Data

    NPI 1811968688 · Aiken, SC · Orthopaedic Surgery of the Spine Physician

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    Ty Carter is a orthopaedic surgery of the spine physician provider located in Aiken, South Carolina. This profile covers 30 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
    OrganizationTy Carter
    Address410 University Pkwy
    CityAiken
    StateSC
    ZIP29801
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicare$186.2K
    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.

    30 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…380$60$24.1K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,310$23.5K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,170$18.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$800$16.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…60$180$11.3K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.70$140$10.1K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…10$620$8.7K
    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…90$90$8.3K
    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…120$70$8.1K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.10$540$7K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685164020$5,770$138.5K
    6365582010$2,800$50.3K
    992144,9997,860160$80$23.2K
    22551174020$1,200$21.6K
    22633254020$900$17.9K
    63047479020$530$13.3K
    992131,0107,690100$60$10.8K
    992331,6731,77080$90$10.7K
    992151,8492,36040$120$9.3K
    992231,3382,08040$130$8.3K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ansermo ArthurSCInterventional Cardiology Physician$337.4K$0
    Phillip SuwanSCInterventional Pain Medicine Physician$302.7K$0
    Terry ArringtonGAOrthopaedic Surgery Physician$291.4K$0
    Randall MeredithGAAdult Reconstructive Orthopaedic Surgery Physician$278.6K$0
    Thomas ParfenchuckGAOrthopaedic Surgery Physician$240K$0
    John FranklinGAOrthopaedic Surgery Physician$236.6K$0
    Douglas PhillipsGAOrthopaedic Surgery Physician$227.1K$0
    Richard MassieSCOrthopaedic Surgery Physician$214.7K$0
    Russell DanielSCPain Medicine (Anesthesiology) Physician$187.9K$540
    Brian AbellGAOrthopaedic Surgery Physician$174.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-development Center Of Aiken County, Inc.SCCognitive & Behavioral Psychologist$0$39.6M
    Aiken Regional Medical Centers LLCSCGeneral Acute Care Hospital$0$31.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Sound Physicians Emergency Medicine Of South Carolina LLCSCEmergency Medicine Physician$0$14.2M
    Regency Hospice Of Georgia, LLCSCCommunity Based Hospice Care Agency$0$12M
    Rural Health Services, IncSCFederally Qualified Health Center (FQHC)$0$10.3M
    Children's Place, IncSCCommunity/Behavioral Health Agency$0$6.8M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$6.6M
    Aiken CountySCAmbulance$1.1M$2.4M
    Aiken Dental AssociatesSCGeneral Practice Dentistry$0$3.3M

    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. South Carolina Distribution
    Ty Carter — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina