JAMES CARLSTEN, MD
Anatomic Pathology & Clinical Pathology Physician · WAKEFIELD, RI
Individual Active NPI 1376590794
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,001 | 2,985 | $386,874 | $97,804 | $72,924 |
| 2023 | 1,031 | 2,715 | $273,606 | $97,296 | $72,933 |
| 2022 | 1,041 | 2,889 | $277,573 | $104,864 | $79,066 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,497 | $36 | $26 |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 575 | $25 | $20 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 353 | $37 | $27 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 145 | $12 | $8 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 102 | $11 | $9 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 69 | $27 | $22 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 62 | $34 | $27 |
| 88184 | Flow cytometry technique for dna or cell analysis, first marker | 25 | $81 | $65 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 23 | $26 | $20 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 21 | $27 | $21 |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 19 | $173 | $138 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 16 | $80 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | 12097 | RI |
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.