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

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

Margaret Carlton (NPI 1912454141)

Field	Value
Entity Type	Individual
Organization	Margaret Carlton
Address	1950 Arlington St Ste 400
City	Sarasota
State	FL
ZIP	34239
Taxonomy	Physician Assistant
NPI Enumerated	September 6, 2016

Payer Source	Total Paid
Medicare	$155.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	700	$80	$57.7K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	80	$180	$14.9K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	110	$130	$14.1K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	420	$30	$11.8K
99213	The 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…	200	$50	$10.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,100	$10	$9.9K
93298	The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…	380	$20	$6.5K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	170	$40	$6.2K
93245	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than seven days, up to 15 days, to help detect abnormal heart rates and…	30	$180	$4.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$80	$4.2K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Margaret Carlton — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,636	32,760	140	$90	$25K
99233	6,931	9,970	100	$90	$20.1K
99223	8,419	11,110	60	$130	$12.5K
99213	8,196	30,010	80	$60	$12K
99215	8,371	8,550	40	$130	$10.7K
G2066	96	430	180	$30	$9.5K
99496	102	2,070	20	$190	$6.8K
93241	16	20	20	$190	$6.2K
93245	3	10	20	$190	$6K
93298	99	500	170	$20	$5.9K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Betensky	FL	Clinical Cardiac Electrophysiology Physician	$1.5M	$0
David Yamada	FL	Cardiovascular Disease Physician	$1.4M	$0
Michael Mollod	FL	Cardiovascular Disease Physician	$1.1M	$0
Robert Eckart	FL	Clinical Cardiac Electrophysiology Physician	$1.1M	$0
David Schreibman	FL	Interventional Cardiology Physician	$994.3K	$0
Garrett Brown	FL	Interventional Cardiology Physician	$765.2K	$0
Daniel Molloy	FL	Interventional Cardiology Physician	$741.2K	$0
Evan Caruso	FL	Interventional Cardiology Physician	$585.3K	$0
Dilip Mathew	FL	Clinical Cardiac Electrophysiology Physician	$528.9K	$0
Antonio Moretta	FL	Clinical Cardiac Electrophysiology Physician	$491.8K	$200

Margaret Carlton — Billing Profile & Reimbursement Data

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Margaret Carlton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References