STACEY CARLTON, M.D.
Family Medicine Physician · CROSSVILLE, TN
Individual Active NPI 1619976941
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 3,594 | $323,837 | $173,250 | $130,220 |
| 2023 | 223 | 2,751 | $343,347 | $183,306 | $138,036 |
| 2022 | 208 | 2,718 | $299,045 | $178,668 | $134,468 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 940 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 804 | $115 | $78 |
| 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 | 282 | $15 | $11 |
| 99497 | Advance care planning, first 30 minutes | 137 | $75 | $64 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 134 | $23 | $23 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 133 | $17 | $17 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 130 | $116 | $116 |
| G0444 | Annual depression screening, 5 to 15 minutes | 126 | $16 | $16 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 80 | $22 | $22 |
| 96372 | Injection of drug or substance under skin or into muscle | 75 | $13 | $9 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 45 | $113 | $76 |
| 99285 | Emergency department visit with high level of medical decision making | 38 | $161 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 25887 | TN |
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.