Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carl, David

Carl, David was paid $94K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoCARL, DAVID
ERIE, PA 16509
33aNPI1962846642assigned 04/24/2013
28Total paid$94K
24GClaims2,496
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#25 of 291
Median peer was paid$7K
This provider vs. median13×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202062$2K
2021577$21K
2022595$22K
2023664$28K
2024incomplete598$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 992 925 $29K
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 29% 637 618 $28K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 465 462 $24K
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 8.0% 92 89 $8K
29848 3.8% 13 13 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 44 44 $1K
20610 <1% 48 45 $865.96
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 128 127 $327.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 46 46 $161.96
73110 <1% 17 13 $140.25
73130 <1% 14 13 $82.50

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.