Carsten, James

Carsten, James was paid $25K by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoCARSTEN, JAMES
OOLTEWAH, TN 37363

33aNPI1194756023assigned 07/06/2006

33bProvider typeFamily Medicine Physician

28Total paid$25K

24GClaims441

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#415 of 754

Median peer was paid$34K

This provider vs. median0.7×

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	71	$4K
2019	180	$12K
2020	125	$6K
2021	32	$2K
2023	33	$1K

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	82%	328	241	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	98	67	$4K
90686		<1%	15	13	$200.27

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.