Donald P Carter, MD

Donald P Carter, MD was paid $161K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is V5298, Hearing aid, not otherwise classified — 90% of everything it billed.

33Billing provider infoDONALD P CARTER, MD
MERCED, CA 95348

33aNPI1538505136assigned 05/22/2013

33bProvider typeOtolaryngology/Facial Plastic Surgery Physician

28Total paid$161K

24GClaims543

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Otolaryngology/Facial Plastic Surgery Physician providers in California

Rank by total paid#8 of 25

Median peer was paid$65K

This provider vs. median2.5×

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	42	$18K
2019	90	$38K
2020	48	$1K
2021	66	$2K
2022	154	$60K
2023	97	$20K
2024incomplete	46	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V5298	Hearing aid, not otherwise classified	90%	103	103	$144K
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	3.5%	47	40	$6K
92557		3.3%	150	150	$5K
V5264	Ear mold/insert, not disposable, any type	2.0%	64	62	$3K
92567		1.5%	163	163	$2K
92504		<1%	16	16	$331.63

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 officialCARTER, DONALD (OWNER/PHYSICIAN)