JOHN J CARTER, M.D.
NPI 1184719536, individual, Asheville, NC, Psychiatry & Neurology, Psychiatry
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| State file: provider deceased medicaid enrollment terminated: provider deceased (t-msis status 80) | Exact NPI, list gives no name | Jul 7, 2017 | still open | 21 | Jan 2018 | Dec 2019 | $47K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN J CARTER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 3, 2006, last updated July 8, 2007 |
| Practice location | 158 ZILLICOA STREET, Asheville, NC 28801-1079, 828-254-9494 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 27898 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $36K | 76% | $74 | $60 (top 5% from $133) | 65th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $11K | 23% | $73 | $44 (top 5% from $110) | 85th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $680 | 1% | $26 | $49 (top 5% from $109) | too few months to rank |
In this area
3 providers in Buncombe County, NC carry an indicator in the public record, with $112K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | STONECREEK HEALTH AND REHABILITATION, LLC Asheville, NC, ranked 4176 | $0 |
|
| 5 | BLAIR HOLL Asheville, NC, ranked 11702 | $67K | |
| 5 | DIGESTIVE HEALTH PARTNERS, PA Asheville, NC, ranked 11773 | $45K |
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.