Bivens, Carl

Bivens, Carl was paid $5K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoBIVENS, CARL
ROANOKE, VA 24018

33aNPI1538153796assigned 09/02/2005

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$5K

24GClaims269

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Virginia

Rank by total paid#22 of 32

Median peer was paid$18K

This provider vs. median0.3×

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	269	$5K

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	86%	93	70	$5K
84443	Thyroid stimulating hormone (TSH)	4.1%	13	13	$214.37
80048	Basic metabolic panel (calcium, ionized)	3.5%	38	24	$186.01
36415	Collection of venous blood by venipuncture	2.8%	87	66	$145.11
83036	Hemoglobin; glycosylated (A1C)	2.1%	19	12	$112.20
80076		1.8%	19	12	$94.40

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.