Physician
John W Carter MD LLC
John W Carter MD LLC was paid $175K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoJOHN W CARTER MD LLC
ALBANY, IN 47320
ALBANY, IN 47320
33aNPI1154751279assigned 11/27/2013
33bProvider typeFamily Medicine Physician
28Total paid$175K
24GClaims4,222
24DCodes billed5
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#156 of 408
Median peer was paid$81K
This provider vs. median2.2×
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 | 202 | $4K | |
| 2019 | 873 | $31K | |
| 2020 | 762 | $30K | |
| 2021 | 686 | $31K | |
| 2022 | 866 | $35K | |
| 2023 | 489 | $27K | |
| 2024incomplete | 344 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 2,458 | 1,906 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 959 | 745 | $43K |
| 36415 | Collection of venous blood by venipuncture | <1% | 741 | 619 | $1K |
| 90686 | <1% | 32 | 18 | $308.37 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | 18 | $183.83 |
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.
From NPPES
Who's on the registration
Authorized officialCARTER, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Southeast Diabetes, INC. | Birmingham, AL | $1.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.