KEVIN CARTER, DO
Sleep Medicine (Family Medicine) Physician · BEAVERCREEK, OH
Individual Active NPI 1053403329
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 759 | 1,232 | $194,182 | $93,113 | $63,551 |
| 2023 | 775 | 1,288 | $211,118 | $100,580 | $67,508 |
| 2022 | 857 | 1,503 | $255,633 | $130,473 | $90,317 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 382 | $85 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 382 | $62 | $43 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 83 | $79 | $52 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 62 | $42 | $28 |
| 95810 | Sleep study in sleep lab (6 years or older) | 54 | $109 | $71 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 53 | $96 | $67 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 35 | $93 | $61 |
| 95970 | Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator | 30 | $17 | $12 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 29 | $44 | $20 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 24 | $116 | $86 |
| 95976 | Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming | 22 | $37 | $27 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $106 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | ✓ | 34011205 | OH |
| Family Medicine Physician | 207Q00000X | 34.011205 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.