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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Carter Clinic, P A (NPI 1912959834)

Field	Value
Entity Type	Organization
Organization	Carter Clinic, P A
Address	4009 Barrett Dr
City	Raleigh
State	NC
ZIP	27609
Taxonomy	Psychiatry Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	51,440	$140	$7.1M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	72,040	$60	$4.6M
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…	45,780	$70	$3M
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…	36,340	$50	$1.6M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	24,950	$70	$1.6M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14,100	$60	$845.9K
H0038	Self‑help/peer services, per 15 minutes	4,010	$70	$273K
T1017	Targeted case management, each 15 minutes	320	$330	$104.3K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	4,580	$20	$68.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	10,550	$10	$63.3K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Carter Clinic, P A — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	118	120	15,180	$230	$5M
H0038	Self‑help/peer services, per 15 minutes	130	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	177	220	1,700	$150	$1.3M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	60	1,640	$100	$940.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	9	360	1,830	$40	$819.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9	150	860	$50	$586.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,438	2,850	10,910	$10	$330.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	44	1,710	810	$80	$274.5K
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…	56	4,400	960	$60	$271.3K
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…	102	4,130	670	$50	$219.9K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myleme Harrison	NC	Psychiatry Physician	$278.3K	$0
Russell Gerry	NC	Internal Medicine Physician	$65.3K	$0
Nicole Donnelly	NC	Family Nurse Practitioner	$33.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$77.5M
Voca Corp Of North Carolina	NC	Community/Behavioral Health Agency	$0	$62.8M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$58.3M
Fastmed Urgent Care PC	NC	Urgent Care Clinic/Center	$0	$40.4M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$29.3M
Professional Healthcare, LLC	NC	Nursing Care Agency	$0	$17.6M
Healing Interventions, Inc	NC	Community/Behavioral Health Agency	$0	$15.3M
Kids First Pediatrics Of Raleigh, PLLC	NC	Pediatrics Physician	$0	$12M
Raleigh Best Medical Supply And Home Health Care Services, LLC	NC	Home Health Agency	$0	$11.9M
Resources For Seniors, Inc	NC	Case Manager/Care Coordinator	$0	$11.3M

Carter Clinic, P A — Billing Profile & Reimbursement Data

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Carter Clinic, P A — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References