Physician

Gustavo Carbone, M.D.

According to 2025 Medicare claims, Gustavo Carbone, M.D. (NPI: 1114116720) practices rheumatology in the Hilton Head Island-Bluffton-Port Royal, SC market, with the plurality of this provider's patient population coming from Beaufort, SC. This provider's primary affiliated billing organization is SOUTHEASTERN RHEUMATOLOGY ALLIANCE (NPI: 1114795663; TIN: 933460719) and primary practice location at 29910-6072. Carbone is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Carbone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 953 traditional Medicare patients, billed 309,891 HCPCS/CPT codes, and received $2,571,900 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,688 prescription claims across 603 beneficiaries totaling $2,387,621 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 170 records totaling $3,932. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $19,555 to $2,571,900. Similarly, Part D prescription costs have risen steadily, from $2,214 to $2,387,621. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.