JAMES CARSTEN, MD
Family Medicine Physician · OOLTEWAH, TN
Individual Active NPI 1194756023
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 300 | 2,512 | $220,567 | $88,611 | $72,287 |
| 2023 | 223 | 317 | $46,389 | $31,209 | $24,338 |
| 2022 | 142 | 342 | $50,386 | $26,526 | $18,989 |
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 | 236 | $115 | $85 |
| 36415 | Insertion of needle into vein for collection of blood sample | 232 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 200 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 192 | $8 | $8 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 168 | $16 | $16 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 139 | $81 | $50 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 89 | $13 | $13 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 79 | $15 | $12 |
| 83036 | Hemoglobin a1c level | 65 | $9 | $9 |
| 81003 | Automated urinalysis test | 62 | $2 | $2 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $117 | $117 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $155 | $107 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 63261 | TN |
| Family Medicine Physician | 207Q00000X | 036080965 | IL |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.