Physician
Pike, Carlo
Pike, Carlo was paid $189K by Medicaid between Jan 2018 and Dec 2020, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPIKE, CARLO
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1700852688assigned 02/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$189K
24GClaims6,612
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#174 of 754
Median peer was paid$34K
This provider vs. median5.6×
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 | 3,337 | $95K | |
| 2019 | 2,087 | $59K | |
| 2020 | 1,188 | $35K |
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 | 57% | 2,759 | 2,416 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,022 | 1,734 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 121 | 108 | $6K |
| 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 | 3.1% | 71 | 67 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.8% | 553 | 306 | $5K |
| 96127 | <1% | 381 | 351 | $1K | |
| 90686 | <1% | 70 | 66 | $903.57 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 13 | $608.85 |
| 99406 | <1% | 93 | 85 | $577.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | 29 | $239.24 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 178 | 143 | $148.31 |
| 80305 | <1% | 19 | 18 | $146.12 |
6 more codes
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.