DONALD CARTER, M.D.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · MERCED, CA
Individual Active NPI 1083634364
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,031 | 3,937 | $494,983 | $332,779 | $235,634 |
| 2023 | 1,157 | 4,403 | $569,920 | $367,113 | $269,946 |
| 2022 | 1,174 | 4,750 | $585,057 | $410,622 | $294,745 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,517 | $130 | $91 |
| 92504 | Exam of ear using a microscope | 1,027 | $31 | $22 |
| 92567 | Test to assess middle ear function | 444 | $17 | $12 |
| 92557 | Comprehensive hearing and speech recognition test | 259 | $37 | $25 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 145 | $169 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $93 | $73 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 68 | $133 | $99 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 53 | $113 | $77 |
| 60100 | Needle biopsy of thyroid through skin | 38 | $101 | $80 |
| 76942 | Ultrasonic guidance for needle placement | 37 | $60 | $46 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | $69 | $53 |
| 95992 | Repositioning exercises of head for treatment of dizziness, each day | 24 | $41 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ✓ | G70792 | CA |
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.