Carter, Seth

Carter, Seth was paid $65K by Medicaid between Oct 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoCARTER, SETH
ERIE, PA 16509

33aNPI1689024598assigned 06/21/2016

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$65K

24GClaims1,768

24DCodes billed5

24AFirst – last monthOct 2021 – Nov 2024

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in Pennsylvania

Rank by total paid#13 of 42

Median peer was paid$17K

This provider vs. median3.9×

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	99	$4K
2022	463	$19K
2023	663	$24K
2024incomplete	543	$19K

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	50%	634	612	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	810	784	$28K
99309	Subsequent nursing facility care, per day, low to moderate complexity	4.5%	78	73	$3K
99490	Ccm add 20min	1.4%	220	213	$933.66
96127		<1%	26	26	$92.40

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.