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    OpenPayerNPI Medicare & MedicaidCraig Carroll
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    Craig Carroll — Billing Profile & Reimbursement Data

    NPI 1861479628 · West Chester, PA · Clinical Neurophysiology Physician

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    Craig Carroll is a clinical neurophysiology physician provider located in West Chester, Pennsylvania. This profile covers 8 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
    OrganizationCraig Carroll
    Address1694 Waterglen Dr
    CityWest Chester
    StatePA
    ZIP19382
    TaxonomyClinical Neurophysiology Physician
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$89.7K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in…1,030$30$25.8K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…480$40$17.1K
    95939The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.170$90$16.2K
    95861In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…250$60$16.1K
    95870In this procedure, the provider performs needle electromyography, which refers to the recording and study of electrical activity of muscles using a needle electrode. Use this code when the provider…570$20$8.6K
    95868The provider inserts a needle electrode into muscle innervated by cranial nerves on both sides of the body and records the electrical activity of the muscle or muscles during rest and contraction. He…90$50$4.5K
    95929In this procedure, the provider performs a central motor evoked potential study by transcranially stimulating the motor cortex by applying very mild electric current on the scalp. The goal is to…10$60$740
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…10$50$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0453820480$30$16.4K
    9593982060$90$8.4K
    95938620120$30$6.1K
    9586162060$60$5.6K
    95870510100$20$3.2K
    9592931020$60$1.4K
    9582272020$40$1.1K
    9586831020$50$720

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danny BartelTXNeurology Physician$4.4M$0
    Brandon ClaflinOKPain Medicine (Physical Medicine & Rehabilitation) Physician$532.7K$0
    Husham MishuGANeurology Physician$529.5K$0
    Morton HysonNVNeurology Physician$30.1K$324.2K
    Julian BraggGANeurology Physician$302.3K$0
    Eric KimCANeurology Physician$300.8K$0
    Rocky Mountain Neurodiagnostics, LLCWYClinical Neurophysiology Physician$0$298.5K
    John ParkerCANeurology Physician$243K$0
    Romina ShirkaNVNeurology Physician$224.5K$0
    Darin StettlerUTAnesthesiology Physician$214.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gaudenzia IncPASubstance Use Disorder Rehabilitation Clinic/Center$0$18.4M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$15.9M
    James BenjaminPAOphthalmology Physician$2.3M$0
    Daniel ToocheckPAOptometrist$403.2K$27.5K
    Shabih KhanPAInternal Medicine Physician$372.1K$2.4K
    Maria HigginsPAOptometrist$308.2K$290
    Ignatius HneleskiPAOphthalmology Physician$291.2K$0
    Raymond JonesPAOphthalmology Physician$245.7K$0
    Michelle LopezPAClinical Psychologist$183K$0
    Thrift Drug IncPACommunity/Retail Pharmacy$134.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Craig Carroll — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania