ANDREW CARBONE, MD
Sports Medicine (Orthopaedic Surgery) Physician · ORLANDO, FL
Individual Active NPI 1396108460
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 101 | 294 | $92,806 | $28,909 | $21,108 |
| 2023 | 32 | 96 | $49,908 | $12,046 | $9,337 |
| 2022 | 18 | 34 | $55,184 | $4,064 | $3,182 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $163 | $123 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 37 | $108 | $65 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 34 | $37 | $26 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $89 | $62 |
| 73564 | X-ray of knee, 4 or more views | 30 | $45 | $33 |
| 73030 | X-ray of shoulder, minimum of 2 views | 28 | $33 | $24 |
| 73503 | X-ray of hip, minimum of 4 views | 20 | $57 | $39 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 | $126 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | A171016 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.