Physician
Carmical Medical PLLC
Carmical Medical PLLC was paid $397K by Medicaid between Dec 2021 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoCARMICAL MEDICAL PLLC
MONTICELLO, AR 71655
MONTICELLO, AR 71655
33aNPI1629651955assigned 05/04/2021
33bProvider typeInternal Medicine Physician
28Total paid$397K
24GClaims43,205
24DCodes billed39
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arkansas
Rank by total paid#21 of 117
Median peer was paid$44K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2021 | 175 | $2K | |
| 2022 | 11,389 | $99K | |
| 2023 | 21,204 | $177K | |
| 2024incomplete | 10,437 | $120K |
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 | 32% | 2,692 | 2,124 | $126K |
| 87428 | 27% | 2,067 | 1,611 | $106K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,659 | 2,697 | $100K |
| 87430 | 4.3% | 1,911 | 1,484 | $17K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 302 | 235 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 165 | 138 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 217 | 162 | $6K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.4% | 382 | 294 | $6K |
| 87807 | <1% | 296 | 236 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 349 | 266 | $2K |
| 87400 | <1% | 287 | 113 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 209 | 175 | $1K |
27 more codes
| 85027 | <1% | 218 | $838.20 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 20 | $491.82 |
| 74018 | <1% | 15 | $376.08 | |
| 81025 | <1% | 74 | $367.89 | |
| 96127 | <1% | 305 | $354.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 510 | $340.84 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 151 | $233.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 22 | $229.46 |
| 99188 | <1% | 18 | $229.40 | |
| 99173 | <1% | 15 | $221.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 41 | $176.28 |
| 81003 | <1% | 355 | $108.80 | |
| 3074F | <1% | 3,888 | $20.00 | |
| 3078F | <1% | 3,481 | $20.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 124 | $11.05 |
| 3080F | <1% | 176 | $10.00 | |
| 3077F | <1% | 414 | $10.00 | |
| 1036F | 0% | 3,056 | $0.00 | |
| 3008F | 0% | 4,972 | $0.00 | |
| 1034F | 0% | 458 | $0.00 | |
| 3075F | 0% | 465 | $0.00 | |
| 99000 | 0% | 666 | $0.00 | |
| 3079F | 0% | 1,209 | $0.00 | |
| 1035F | 0% | 54 | $0.00 | |
| 1159F | 0% | 4,814 | $0.00 | |
| 1160F | 0% | 4,813 | $0.00 | |
| 3725F | 0% | 335 | $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 officialCARMICAL, JIM (PRACTITIONER)