THOMAS CARTER, DO
Nephrology Physician · OPELIKA, AL
Individual Active NPI 1366555674
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 210 | 645 | $236,505 | $111,685 | $87,237 |
| 2023 | 255 | 714 | $161,015 | $85,857 | $67,594 |
| 2022 | 344 | 1,145 | $370,835 | $193,689 | $152,990 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 181 | $315 | $248 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 149 | $70 | $55 |
| 90935 | Hemodialysis procedure with physician evaluation | 88 | $64 | $50 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 66 | $262 | $208 |
| 90966 | Home dialysis services per month (20 years or older) | 40 | $262 | $208 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $69 | $44 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $113 | $90 |
| 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 | 12 | $15 | $11 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | DO175 | AL |
| Internal Medicine Physician | 207R00000X | DO175 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Alabama
- NPI 1326458498
- NPI 1023122983
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- NPI 1134289580
- NPI 1801801493
- NPI 1972518546
- NPI 1225229362
- NPI 1053383265
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.