Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Palmerton › NPI 1679693857
Clinic

Garry M Carbone MD PC

Garry M Carbone MD PC was paid $25K by Medicaid between Jul 2022 and Oct 2023, across 9 billing codes. Its largest line is 99349, — 55% of everything it billed.

33Billing provider infoGARRY M CARBONE MD PC
PALMERTON, PA 18071
33aNPI1679693857assigned 03/30/2007
28Total paid$25K
24GClaims1,752
24DCodes billed9
24AFirst – last monthJul 2022 – Oct 2023
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania

Rank by total paid#101 of 121
Median peer was paid$1.18M
This provider vs. median0.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2022673$8K
20231,079$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99349 55% 671 435 $14K
99336 21% 335 188 $5K
99490 Ccm add 20min 17% 473 463 $4K
69210 2.7% 153 150 $680.45
99335 1.8% 16 15 $437.49
99347 1.0% 28 26 $258.78
99334 <1% 26 19 $219.52
99407 <1% 13 13 $154.64
99348 <1% 37 34 $78.00

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 officialCARBONE, GARRY (OWNER PROVIDER)