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CARTER, MICHAELMD NPI 1639293871 Clinician

Family Practice · ERIN, TN

Specialty Family Practice — from billed Medicare claims
Trained UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE — medical school, self-reported to CMS
In practice about 19 years since medical school (class of 2007, self-reported to CMS)
Location ERIN, TN · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 45 codes billed · 5,045 disclosed services (CY2024 — most recent year in data)
Current groups
member of 4 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Group affiliation since 2019

20192026
LEXINGTON CLINIC CORP
2024–2026
LEXINGTON FAMILY PHYSICIANS LLC
2024–2026
LEXINGTON HOSPITAL CORPORATION
2024–2026
HILCREST CLINIC, PC
2019–2026
CONCORD MEDICAL GROUP PLLC
2020

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-06

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
J1100 Injection, dexamethasone sodium phosphate, 1 mg
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
96372 Injection of drug or substance under skin or into muscle
G0444 Annual depression screening, 5 to 15 minutes
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
85610 Blood test, clotting time
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
J0696 Injection, ceftriaxone sodium, per 250 mg
97530 Therapy procedure using functional activities
81003 Automated urinalysis test
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
G0008 Administration of influenza virus vaccine
90662 Influenza vaccine split virus, preservative free
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
J1885 Injection, ketorolac tromethamine, per 15 mg
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
97535 Training for self-care or home management, each 15 minutes
99239 Hospital discharge day management, more than 30 minutes
87804 Detection test by immunoassay with direct visual observation for influenza virus
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
71045 X-ray of chest, 1 view
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
97116 Therapy procedure for walking training, each 15 minutes
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
99315 Nursing facility discharge day management, 30 minutes or less
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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
97162 Evaluation for physical therapy, typically 30 minutes
70450 Ct scan head or brain without contrast
99406 Smoking and tobacco use intensive counseling, 4-10 minutes
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
36415 Insertion of needle into vein for collection of blood sample
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
74176 Ct scan of abdomen and pelvis without contrast
71250 Ct scan of chest without contrast
G0009 Administration of pneumococcal vaccine
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.