LARRY CARTER, DO
Gastroenterology Physician · HUNTINGTON, WV
Individual Active NPI 1285954669
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 286 | 658 | $202,907 | $62,711 | $48,474 |
| 2023 | 239 | 526 | $151,165 | $47,619 | $36,604 |
| 2022 | 84 | 155 | $44,706 | $15,793 | $12,783 |
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 | 82 | $91 | $62 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 81 | $6 | $4 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 78 | $61 | $44 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 42 | $83 | $62 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 37 | $122 | $85 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | $75 | $58 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 36 | $240 | $202 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | $46 | $35 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $102 | $76 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $102 | $82 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $151 | $107 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 17 | $100 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2622 | WV |
| Internal Medicine Physician | 207R00000X | 2622 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | ED0104B | WV |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in West Virginia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.