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

Bruce R. Carlton, M.D., INC.

Bruce R. Carlton, M.D., INC. was paid $512K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 17110, — 36% of everything it billed.

33Billing provider infoBRUCE R. CARLTON, M.D., INC.
VACAVILLE, CA 95688
33aNPI1992978399assigned 04/07/2008
28Total paid$512K
24GClaims8,265
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Dermatopathology Physician providers in California

Rank by total paid#2 of 9
Median peer was paid$46K
This provider vs. median11×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,034$121K
20192,026$112K
2020483$23K
20211,008$45K
20221,413$82K
2023550$37K
2024incomplete751$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
17110 36% 1,757 1,577 $183K
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 28% 2,057 1,935 $141K
96910 18% 2,673 2,142 $91K
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 7.8% 356 356 $40K
17000 4.6% 486 434 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.6% 319 292 $13K
99244 Office or other outpatient consultation, moderate to high complexity 2.3% 95 93 $12K
17003 1.2% 289 255 $6K
87101 <1% 199 193 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 34 24 $2K

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 officialCARLTON, BRUCE (M.D./OWNER)