Medicare Enrolled
Dr. Paul Carnes, M.D.
Anesthesiology · Raleigh, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Carnes from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Carnes
Dr. Paul Carnes is an anesthesiology specialist in Raleigh, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Carnes performed 5,376 Medicare services across 2,168 unique beneficiaries.
Between the years covered by Open Payments, Dr. Carnes received a total of $14,308 from 64 pharmaceutical and/or device companies across 622 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Carnes is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 2% volume in NC
$14,308 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,376
Medicare services
Top 2% in NC for anesthesiology
2,168
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~269 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,180 | $0 | $2 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
1,055 | $5 | $15 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
394 | $0 | $5 |
| Injection, fentanyl citrate, 0.1 mg | 318 | $1 | $2 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
311 | $44 | $600 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 299 | $37 | $472 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
145 | $235 | $1,252 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
135 | $73 | $306 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
126 | $163 | $477 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
120 | $36 | $90 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
103 | $82 | $297 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
89 | $239 | $370 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
86 | $197 | $939 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
86 | $117 | $380 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
85 | $103 | $712 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
68 | $185 | $939 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
66 | $74 | $469 |
| Facial nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the facial nerve. This procedure delivers medication directly to the nerve. |
65 | $78 | $665 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
65 | $101 | $555 |
| Suprascapular nerve injection An injection of anesthetic and/or steroid medication into the suprascapular nerve in the shoulder area. |
60 | $65 | $939 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
55 | $180 | $1,578 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
52 | $85 | $665 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
46 | $61 | $93 |
| Spinal or brain drug pump maintenance A healthcare professional performs maintenance on a drug infusion pump implanted in the spinal canal or brain. |
45 | $80 | $350 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
44 | $457 | $2,000 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
44 | $3,605 | $6,517 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
36 | $249 | $766 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
31 | $439 | $2,038 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
31 | $88 | $400 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
31 | $58 | $150 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
26 | $266 | $855 |
| Meperidine hydrochloride injection, per 100 mg An injection of meperidine hydrochloride, a pain-relieving medication, measured in 100 mg increments. |
26 | $5 | $13 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
22 | $89 | $1,574 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
17 | $81 | $1,518 |
| New patient office visit, complex (60-74 min) | 14 | $138 | $430 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$14,308
Total received (2018-2024)
Avg $2,044/year across 7 years
Top 4% in NC for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
64
Companies
622
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,993 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$316 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,375
2023
$1,938
2022
$626
2021
$701
2020
$391
2019
$2,792
2018
$4,486
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BIOTRONIK NRO, Inc.
$985
Boston Scientific Corporation
$527
Averitas Pharma Inc.
$426
ABBVIE INC.
$298
Lundbeck LLC
$216
Collegium Pharmaceutical, Inc.
$207
Medtronic, Inc.
$145
Teva Pharmaceuticals USA, Inc.
$96
Neurocrine Biosciences, Inc.
$84
SI-BONE, INC.
$83
Lilly USA, LLC
$70
UCB, Inc.
$44
EMD Serono, Inc.
$40
ARGENX US, INC.
$33
Neurelis, Inc.
$29
Alexion Pharmaceuticals, Inc.
$28
GENZYME CORPORATION
$21
Merz Pharmaceuticals, LLC
$21
SCILEX PHARMACEUTICALS INC.
$20
Top 3 companies account for 57.4% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic USA, Inc.
$2,984
Boston Scientific Corporation
$2,010
BOSTON SCIENTIFIC CORPORATION
$1,910
BIOTRONIK NRO, Inc.
$1,301
Averitas Pharma Inc.
$583
ABBVIE INC.
$508
AbbVie Inc.
$427
Collegium Pharmaceutical, Inc.
$405
Lundbeck LLC
$396
Teva Pharmaceuticals USA, Inc.
$346
Supernus Pharmaceuticals, Inc.
$253
GENZYME CORPORATION
$230
Novartis Pharmaceuticals Corporation
$214
Lilly USA, LLC
$188
ASSERTIO THERAPEUTICS, Inc.
$162
Daiichi Sankyo Inc.
$149
Medtronic, Inc.
$145
UCB, Inc.
$140
Assertio Therapeutics, Inc.
$136
Zyla Life Sciences
$126
Amgen Inc.
$122
SI-BONE, INC.
$119
Neurocrine Biosciences, Inc.
$84
IMPEL PHARMACEUTICALS INC.
$80
Allergan, Inc.
$77
Alexion Pharmaceuticals, Inc.
$75
Allergan Inc.
$74
Pernix Therapeutics Holdings, Inc.
$64
Amneal Pharmaceuticals LLC
$64
GRT US Holding, Inc.
$63
Arbor Pharmaceuticals, Inc.
$60
ARGENX US, INC.
$53
Purdue Pharma L.P.
$53
Abbott Laboratories
$43
EMD Serono, Inc.
$40
ARBOR PHARMACEUTICALS, INC.
$39
Kaleo, Inc.
$38
Azurity Pharmaceuticals, Inc.
$37
Scilex Pharmaceuticals Inc.
$31
Neurelis, Inc.
$29
Acorda Therapeutics, Inc
$28
Biogen, Inc.
$27
Ipsen Biopharmaceuticals, Inc
$27
Saluda Medical Americas, Inc.
$25
Mallinckrodt LLC
$25
CSL Behring
$24
Electronic Waveform Lab, Inc.
$24
Shionogi Inc
$23
Takeda Pharmaceuticals U.S.A., Inc.
$22
Merz Pharmaceuticals, LLC
$21
SCILEX PHARMACEUTICALS INC.
$20
Janssen Pharmaceuticals, Inc
$20
SI-BONE, Inc.
$20
Bausch Health US, LLC
$19
Mallinckrodt Hospital Products Inc.
$16
Sunovion Pharmaceuticals Inc.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Egalet US Inc
$13
Biohaven Pharmaceutical Holding Company Ltd.
$13
ACADIA Pharmaceuticals Inc
$12
BioDelivery Sciences International, Inc.
$11
Vertical Pharmaceuticals, LLC
$11
PFIZER INC.
$11
Promius Pharma LLC
$11
Top 3 companies account for 48.3% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVOS · ADAPTIVESTIM · AIMOVIG · AJOVY · AMPYRA · AMYVID · APTIOM · AUBAGIO · AUSTEDO · Aimovig · Austedo XR · BIOTRONIK · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · Briviact · COPAXONE · Cambia · DYSPORT · Dexilant · ELYXYB - celecoxib · EMGALITY · ENTRADA · Eprontia · Evoke SCS · Evzio · FABRAZYME · FUSION · GENERAL THERAPIES · GENERAL DBS · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GRALISE · General - Pain Management · Gralise · Hizentra · Horizant · INBRIJA · INFINION · INGREZZA · INTELLIS · KYPHON Balloon Kyphoplasty · LEMTRADA · LIORESAL · LORZONE · LYRICA · LYVISPAH · MIGRANAL · Morphabond ER · NUPLAZID · NURTEC ODT · NucyntaER · OXTELLAR XR · Proclaim Family of SCS IPGs · Prospera · QULIPTA · QUTENZA · QUVIVIQ · Qutenza · RESTORE · RYTARY · Rystiggo · SOLIRIS · SPECTRA WAVEWRITER · SPRIX · SYMPROIC · SYNCHROMED · SYNCHROMEDII · Soliris · Spectra WaveWriter · Symproic · TECFIDERA · TROKENDI XR · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · VALTOCO · VYEPTI · VYVGART · VYVGART HYTRULO · WaveWriter Alpha Prime 16 · XTAMPZA · Xeomin · ZEMBRACE SYMTOUCH · ZOHYDRO ER · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zipsor · iFuse Implant
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for anesthesiology in NC.
Geographic Context
Anesthesiologists within 10 mi
303
Per 100K population
26.3
County median income
$101,763
Nearest hospital
REX HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Carnes is a mixed practice specialist, with above-average Medicare volume (top 2% in NC), with low-engagement industry engagement in the top 4% of NC peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Carnes experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Carnes performed 1,180 dexamethasone injection (steroid) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Carnes receive payments from pharmaceutical companies?
Yes. Dr. Carnes received a total of $14,308 from 64 companies across 622 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Carnes's costs compare to other anesthesiologists in Raleigh?
Dr. Carnes's average Medicare payment per service is $81. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Carnes) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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