Carter, Anthony

Carter, Anthony was paid $145K by Medicaid between Jan 2018 and Oct 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoCARTER, ANTHONY
TOMPKINSVILLE, KY 42167

33aNPI1104890276assigned 02/15/2006

33bProvider typeInternal Medicine Physician

28Total paid$145K

24GClaims7,019

24DCodes billed20

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#97 of 231

Median peer was paid$77K

This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	3,670	$69K
2019	1,736	$35K
2020	869	$24K
2021	744	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	1,858	1,260	$68K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	17%	888	596	$24K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	16%	1,514	985	$23K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	306	236	$18K
99218		2.1%	64	55	$3K
36415	Collection of venous blood by venipuncture	1.4%	409	361	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	1.1%	961	709	$2K
J0290	Injection, ampicillin sodium, 500 mg	1.1%	349	270	$2K
20550		<1%	22	12	$970.74
99217		<1%	15	13	$603.86
71045	Radiologic examination, chest; single view	<1%	34	26	$462.10
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	93	59	$433.32

8 more codes

90686		<1%	19	$347.63
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	183	$321.10
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	17	$231.24
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	14	$141.75
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	13	$116.11
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	17	$110.34
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$84.90
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	230	$0.67

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.