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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThaddeus Carnine
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    Thaddeus Carnine — Billing Profile & Reimbursement Data

    NPI 1821190174 · Edmond, OK · Orthopaedic Surgery Physician

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    Thaddeus Carnine is a orthopaedic surgery physician provider located in Edmond, Oklahoma. This profile covers 16 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
    OrganizationThaddeus Carnine
    Address2017 W I 35 Frontage Rd Ste 250
    CityEdmond
    StateOK
    ZIP73013
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$162.2K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg2,020$10$26.2K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg3,700$10$25.9K
    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…410$60$25.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…380$50$18.8K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$970$18.5K
    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…80$110$9.2K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$800$8.8K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$410$6.6K
    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…90$70$6.4K
    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…60$80$5.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744713218030$730$35.2K
    J330419401,820$10$34.1K
    992143,8725,560130$70$18.4K
    J73255301,650$10$16.8K
    29827556020$730$14.6K
    992134895,45080$50$8.7K
    2988181020$460$8.7K
    992045442,79040$100$5.8K
    29824354020$230$5.6K
    206102755060$40$4.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$175.9M
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Scott CooperOKMedical Physician Assistant$4.4M$0
    Todd MolletOKMOHS-Micrographic Surgery Physician$2.1M$0
    Cherian KarunapuzhaOKNeurology Physician$809.4K$0
    Mohammad GhaniOKInterventional Cardiology Physician$396.7K$0
    David SchomasMORadiation Oncology Physician$328.3K$0
    Marguerite ButcheeOKNeurology Physician$303.3K$0
    Faustino KazenskeOKOrthopaedic Surgery Physician$293.5K$0
    Astrid MorrisonOKRadiation Oncology Physician$283.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Care Pediatrics, Inc.OKHome Health Agency$0$44.8M
    Medical Resource Management, LLCOKUrgent Care Clinic/Center$0$14.9M
    Oklahoma Arthritis Center, P.C.OKRheumatology Physician$0$10.1M
    Craig CarsonOKRheumatology Physician$9.7M$0
    Sand Lily Healthcare, Inc.OKIn Home Supportive Care Agency$0$8.9M
    Christopher FisherOKInternal Medicine Physician$7.6M$0
    Summit Medical CenterOKGeneral Acute Care Hospital$0$7.1M
    Brian PhelpsOKRetina Specialist (Ophthalmology) Physician$4.1M$0
    Ana KumarOKRheumatology Physician$4.1M$0
    Sandeep ShahOKRetina Specialist (Ophthalmology) Physician$3.9M$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. Oklahoma Distribution
    Thaddeus Carnine — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma