Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Carter
    Ask Trek AI about this page

    Mark Carter — Billing Profile & Reimbursement Data

    NPI 1932128337 · Jacksonville, FL · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Mark Carter — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Mark Carter is a diagnostic radiology physician provider located in Jacksonville, Florida. This profile covers 25 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Carter
    Address4521 Shiloh Mill Blvd
    CityJacksonville
    StateFL
    ZIP32246
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$451.6K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.670$240$156.5K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.520$260$136.8K
    74181The provider performed magnetic resonance imaging of the structures and organs in the abdomen without contrast material.170$150$25.6K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…360$60$21.1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…240$80$19.7K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.100$140$14.1K
    74261The provider uses computed tomography, or CT, to take images of the colon without using contrast.80$160$13.7K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.50$190$9.5K
    74160The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He injects contrast material to enhance the…40$160$6.5K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…1,230$10$6.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J16101820210$150$35.3K
    74177201,480100$100$14.4K
    7219714033040$190$13.5K
    74183250040$190$11.9K
    741765801,51080$80$8.6K
    712501,4641,51080$60$8.3K
    7417875683030$190$8.3K
    712604901,22040$60$4.9K
    721957019020$140$4.1K
    7426122020$150$4K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert AportelaFLAnatomic Pathology & Clinical Pathology Physician$2.1M$0
    Adam BrochertCADiagnostic Radiology Physician$1.9M$0
    Nishant GandhiPAPain Medicine (Anesthesiology) Physician$387.9K$1M
    Sudhir RaoMDPain Medicine (Anesthesiology) Physician$700.5K$89.4K
    Lynn Thompson - GregoryPANurse Practitioner$661K$0
    Kenneth CailGADiagnostic Radiology Physician$505.2K$0
    Christopher McclellanPAOrthopaedic Surgery Physician$410.7K$33.6K
    Timothy VollmerPAInterventional Pain Medicine Physician$395.4K$26.5K
    Gregory BaileyPAOrthopaedic Surgery of the Spine Physician$383.9K$1.2K
    Thomas EllisPASports Medicine (Orthopaedic Surgery) Physician$336.2K$400

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$17.3M
    Marlyn Enterprises Of Jacksonville, Inc.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$7.3M
    Jonathan BuckmanFLFamily Nurse Practitioner$798.7K$0
    Hector GonzalezFLMedical Physician Assistant$307.7K$0
    Thomas MerrittFLPsychiatry Physician$58.6K$0
    Sean MchughFLChiropractor$45.3K$0
    Robert MouradianFLAnesthesiology Physician$22.8K$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. Florida Distribution
    Mark Carter — 6 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida