Richard & Carter M.D. P.C.
Richard & Carter M.D. P.C. was paid $1.45M by Medicaid between Jan 2018 and Nov 2021, across 31 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 60% of everything it billed.
33Billing provider infoRICHARD & CARTER M.D. P.C.
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1417170341assigned 04/10/2007
33bProvider typeSpecialist
28Total paid$1.45M
24GClaims44,450
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#25 of 252
Median peer was paid$57K
This provider vs. median25×
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 | 11,031 | $462K | |
| 2019 | 13,411 | $467K | |
| 2020 | 11,326 | $314K | |
| 2021 | 8,682 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 60% | 776 | 611 | $863K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.8% | 2,749 | 1,672 | $113K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 5,490 | 3,501 | $101K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.3% | 1,364 | 867 | $76K |
| 59510 | 4.9% | 88 | 40 | $70K | |
| 99205 | Prolong outpt/office vis | 4.6% | 889 | 553 | $66K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.2% | 1,455 | 1,181 | $46K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.6% | 325 | 258 | $24K |
| 81025 | 1.3% | 5,333 | 3,301 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,130 | 658 | $10K |
| 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 | <1% | 313 | 187 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 739 | 606 | $9K |
19 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 181 | $9K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 189 | $7K |
| 0500F | <1% | 3,536 | $6K | |
| 87210 | <1% | 3,042 | $6K | |
| 76830 | Ultrasound, transvaginal | <1% | 87 | $3K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 113 | $3K |
| 76801 | <1% | 39 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 16 | $679.68 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 22 | $576.25 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $556.53 |
| 3008F | <1% | 814 | $470.00 | |
| 59430 | <1% | 77 | $467.82 | |
| 0503F | <1% | 652 | $320.83 | |
| 3074F | <1% | 36 | $10.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,458 | $0.00 |
| 0501F | 0% | 996 | $0.00 | |
| 99024 | 0% | 14 | $0.00 | |
| 0502F | 0% | 12,484 | $0.00 | |
| 99408 | 0% | 31 | $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 officialRICHARD, FLOYD (PRESIDENT)