Physician
Carbone, Ralph
Carbone, Ralph was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 39% of everything it billed.
33Billing provider infoCARBONE, RALPH
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1447212006assigned 04/06/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.25M
24GClaims47,605
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Indiana
Rank by total paid#7 of 24
Median peer was paid$106K
This provider vs. median12×
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 | 12,218 | $126K | |
| 2019 | 6,994 | $156K | |
| 2020 | 6,873 | $167K | |
| 2021 | 5,488 | $206K | |
| 2022 | 5,040 | $190K | |
| 2023 | 6,494 | $208K | |
| 2024incomplete | 4,498 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 39% | 18,947 | 15,342 | $488K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 13,666 | 11,115 | $476K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 5,244 | 4,478 | $84K |
| 95923 | 4.3% | 1,122 | 984 | $54K | |
| 95924 | 4.1% | 1,101 | 977 | $51K | |
| 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 | 2.8% | 488 | 397 | $35K |
| 93923 | 2.4% | 2,193 | 984 | $30K | |
| 94618 | 1.2% | 967 | 897 | $15K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 263 | 245 | $14K |
| 93040 | <1% | 1,098 | 974 | $2K | |
| 62323 | <1% | 88 | 80 | $2K | |
| 92548 | <1% | 14 | 14 | $802.83 |
5 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $563.18 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 129 | $222.86 |
| 99358 | Prolong nursin fac eval 15m | 0% | 24 | $0.00 |
| 81003 | 0% | 2,208 | $0.00 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 40 | $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.