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
ERIE, PA 16509
33aNPI1962846642assigned 04/24/2013
33bProvider typeOrthopaedic Surgery Physician
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
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 | |
|---|---|---|---|
| 2020 | 62 | $2K | |
| 2021 | 577 | $21K | |
| 2022 | 595 | $22K | |
| 2023 | 664 | $28K | |
| 2024incomplete | 598 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.