FRANK CARTER, MD
Colon & Rectal Surgery Physician · WEST READING, PA
Individual Active NPI 1063405165
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 203 | 544 | $172,020 | $100,727 | $78,345 |
| 2023 | 199 | 597 | $217,470 | $126,535 | $98,693 |
| 2022 | 217 | 628 | $202,670 | $122,395 | $94,131 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 70 | $47 | $38 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 50 | $165 | $129 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 47 | $112 | $90 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 46 | $106 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $122 | $92 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | $72 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $160 | $123 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $173 | $126 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $87 | $63 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | $125 | $97 |
| 46221 | Removal of external hemorrhoids by rubber banding | 17 | $267 | $206 |
| 46600 | Diagnostic exam of anus using an endoscope | 15 | $110 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | MD041054E | PA |
| Colon & Rectal Surgery Physician | 208C00000X | BC2250467 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Colon & Rectal Surgery Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.