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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Carter
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    Benjamin Carter — Billing Profile & Reimbursement Data

    NPI 1902868961 · Kosciusko, MS · Family Medicine Physician

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    Benjamin Carter is a family medicine physician provider located in Kosciusko, Mississippi. This profile covers 58 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Carter
    Address332 Highway 12 W
    CityKosciusko
    StateMS
    ZIP39090
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 5, 2006

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

    Payer SourceTotal Paid
    Medicare$439.8K
    Medicaid$45.8K

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,630$70$120.5K
    J0897Injection, denosumab, 1 mg3,660$20$65.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit370$120$43.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…470$70$32.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…80$280$21.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…190$70$13.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,500$10$12K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1,350$10$10.8K
    85025A 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…1,320$10$10.6K
    84443The 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…530$20$8.4K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897451103,030$20$95.7K
    93306172210290$80$27.8K
    99214564,110170$70$21.9K
    9930934210100$70$20.9K
    G04395581070$110$14.4K
    17000113160190$30$10.6K
    9921541690040$110$9K
    906772448020$280$8.7K
    7214814214060$70$7.2K
    96401376080$50$7.1K

    Showing 1–10 of 58

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…940$50$42.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…60$20$1.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.210$1$640
    85025A 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…130$1$530
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…120$1$470
    84450The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…70$1$70
    84460The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…70$1$70
    1036FN/A30$0$0
    1159FNo Summary found for this code20$0$0
    1160FNo Summary found for this code20$0$0

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7601,670720$50$196.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…119150370$20$59.9K
    85025A 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…3344401,410$1$40.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1221501,710$10$30.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.475780470$1$10.4K
    84460The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…3450450$1$2.7K
    84450The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…3350390$1$2.2K
    1036FN/A162180280$1$340
    1159FNo Summary found for this code271290380$1$30
    3078FNo Summary found for this code262300250$1$10

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Medical Group Of Mississippi LLCMSClinic/Center$0$8.1M
    James BennettMSInterventional Cardiology Physician$661.1K$0
    John WallaceMSFamily Medicine Physician$343.8K$53.9K
    James WithersMSFamily Medicine Physician$336.1K$42.3K
    Charles HallMSGastroenterology Physician$293.8K$0
    Michael HolmanMSFamily Medicine Physician$211.3K$33.3K
    Makau LeeMSGastroenterology Physician$239.1K$0
    Samuel HoldinessMSInternal Medicine Physician$133.1K$92.5K
    Honey EastMSEndocrinology, Diabetes & Metabolism Physician$183.4K$0
    Gordon DelashmetMSInternal Medicine Physician$147.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmc - Attala, LLCMSCritical Access Hospital$0$8.8M
    Fast Pace Mississippi, PLLCMSRural Health Clinic/Center$0$6.9M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.3M
    Attala Emergency Group LLCMSEmergency Medicine Physician$0$1.6M
    Imani Community Outreach CenterMSHomemaker$0$1.5M
    Jackey TurnerMSFamily Medicine Physician$206.9K$0
    Memorie FinnieMSOccupational Therapist$180.6K$0
    Robert BrowningMSFamily Medicine Physician$111.6K$21.4K
    Haley KuhnMSPhysical Therapist$117.3K$0
    Deidra CockroftMSPhysical Therapist$70.8K$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. Mississippi Distribution
    Benjamin Carter — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Benjamin Carter — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi