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    v1.0.28
    OpenPayerNPI Medicare & MedicaidErik Carlson
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    Erik Carlson — Billing Profile & Reimbursement Data

    NPI 1992971808 · Middlebury, CT · Orthopaedic Hand Surgery Physician

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    Erik Carlson is a orthopaedic hand surgery physician provider located in Middlebury, Connecticut. This profile covers 18 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
    OrganizationErik Carlson
    Address1579 Straits Tpke
    CityMiddlebury
    StateCT
    ZIP06762
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 1, 2008

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

    Payer SourceTotal Paid
    Medicare$69.5K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…190$70$13.3K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,980$10$9.9K
    99203The provider sees a new 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 provider…110$90$9.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…190$50$9.6K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.20$410$8.6K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$160$4.6K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.130$30$3.1K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.80$30$2.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg370$10$1.8K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.40$30$1.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274476016020$1,320$39.6K
    29848173020$480$14K
    J73185301,410$10$9.4K
    992131,2376,44070$60$8.1K
    206107142060$50$5.4K
    992031552,25030$80$3.5K
    205509012040$40$2.3K
    992127761,34030$40$2.2K
    20600367020$40$1.3K
    J070231150110$1$1.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Ct Medical Foundation, Inc.CTFamily Medicine Physician$0$34M
    Muhammad IjazNJInternal Medicine Physician$852.8K$0
    Parveen KhannaCTCardiovascular Disease Physician$469.3K$0
    Jody GerardCTFamily Medicine Physician$378.2K$0
    Hazar DahhanCTCardiovascular Disease Physician$318.1K$0
    Kostas PapamarkakisMANephrology Physician$281.2K$3.5K
    William GrayCTInternal Medicine Physician$275.5K$0
    Amirhossein ZangiabadiCANeurology Physician$274.7K$0
    Mansoor ZaidiMAInternal Medicine Physician$147.4K$114.1K
    Marc RaadCTInternal Medicine Physician$252.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincare IncCTDurable Medical Equipment & Medical Supplies$0$14.6M
    J & L Medical Services, LLCCTDurable Medical Equipment & Medical Supplies$0$2M
    Naugatuck Valley Cardiovascular AssociatesCTCardiovascular Disease Physician$0$1.5M
    Healthy Children Pediatrics, LLCCTPediatrics Physician$0$1.3M
    George AntonopoulosCTCardiovascular Disease Physician$632.7K$0
    Robert KennonCTOrthopaedic Surgery Physician$264K$0
    York MoyCTUrology Physician$257.8K$0
    Sagar PhatakCTUrology Physician$242.6K$0
    John KeggiCTOrthopaedic Surgery Physician$231.2K$0
    Anthony KimCTUrology Physician$210.9K$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. Connecticut Distribution
    Erik Carlson — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut