Physician

David E Carleton, MD

According to 2025 Medicare claims, David Carleton, MD (NPI: 1508073644) practices rheumatology in the Richmond, VA market, with the plurality of this provider's patient population coming from Richmond City, VA. This provider's primary affiliated billing organization is VIRGINIA PHYSICIANS, INC. (NPI: 1891857439; TIN: 540883363) and primary practice location at 23294-4371. Carleton is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Carleton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 822 traditional Medicare patients, billed 788,880 HCPCS/CPT codes, and received $4,756,692 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,216 prescription claims across 456 beneficiaries totaling $828,346 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 23 records totaling $320. 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 moved from a lower plateau to a higher plateau, from $1,374,388 to $4,756,692. Similarly, Part D prescription costs have moved sharply higher in recent years, from $500,578 to $828,346. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.