Physician
Carbone, Garry
Carbone, Garry was paid $79K by Medicaid between Jan 2018 and Aug 2024, across 14 billing codes. Its largest line is 99336, — 44% of everything it billed.
33Billing provider infoCARBONE, GARRY
LEHIGHTON, PA 18235
LEHIGHTON, PA 18235
33aNPI1578512299assigned 05/09/2006
33bProvider typeNephrology Physician
28Total paid$79K
24GClaims3,541
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in Pennsylvania
Rank by total paid#21 of 149
Median peer was paid$5K
This provider vs. median17×
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 | 112 | $959.76 | |
| 2019 | 101 | $0.00 | |
| 2020 | 51 | $655.16 | |
| 2021 | 335 | $9K | |
| 2022 | 1,486 | $35K | |
| 2023 | 1,396 | $30K | |
| 2024incomplete | 60 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99336 | 44% | 1,347 | 1,032 | $35K | |
| 99349 | 31% | 879 | 580 | $24K | |
| 99490 | Ccm add 20min | 9.6% | 694 | 687 | $8K |
| 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 | 3.9% | 60 | 49 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 49 | 41 | $3K |
| 69210 | 3.1% | 292 | 236 | $2K | |
| 99337 | 1.3% | 15 | 15 | $1K | |
| 99334 | 1.0% | 54 | 52 | $796.54 | |
| 99335 | <1% | 45 | 45 | $777.76 | |
| 99347 | <1% | 46 | 42 | $624.22 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | 19 | $260.00 |
| 99326 | <1% | 13 | 13 | $235.35 |
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.