Physician
Carbon Medical Assoc INC
Carbon Medical Assoc INC was paid $735.85 by Medicaid between Jan 2018 and Mar 2019, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 93% of everything it billed.
33Billing provider infoCARBON MEDICAL ASSOC INC
PALMERTON, PA 18071
PALMERTON, PA 18071
33aNPI1326076951assigned 06/30/2006
33bProvider typeNephrology Physician
28Total paid$735.85
24GClaims227
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Nephrology Physician providers in Pennsylvania
Rank by total paid#117 of 149
Median peer was paid$5K
This provider vs. median0.2×
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 | $735.85 | |
| 2019 | 25 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 93% | 13 | 13 | $685.23 |
| 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 | 6.9% | 28 | 26 | $50.62 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 143 | 142 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 12 | 12 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 15 | 15 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 0% | 16 | 14 | $0.00 |
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 officialBOCK, KIMBERLY (OFFICE MANAGER)