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Dr. Ty William Carter, MD

(Dr. Ty W. Carter, MD)

(975 Ratings)

Specializes in: Spine Surgery and Orthopedics/Orthopedic Surgery

Mercer University School of Medicine (1996)

410 University Parkway Suite 1000
Aiken, SC 29801

(803) 644-4264

Dr. Ty William Carter, MD is a spine surgeon in Aiken, GA specializing in spine surgery and orthopedics/orthopedic surgery. He graduated from Mercer University School of Medicine in 1996 and has 29 years of experience. Dr. Ty William Carter, MD is affiliated with AUGUSTA ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS, PC and Georgia Carolina Orthopedics.

Office Locations

399 Silver Bluff Road
Aiken, GA 29803

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410 University Parkway Suite 1000
Aiken, SC 29801

(803) 644-4264

(803) 649-0543

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Georgia Carolina Orthopedics

410 University Parkway Suites 1000, 1100, and 1200
Aiken, GA 29801

(803) 649-2250

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Noteworthy Medicare Patient Procedures Performed by Dr. Ty William Carter, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

lumbar kyphoplasty

In 2023, Dr. Ty William Carter, MD had a list price for lumbar kyphoplasty that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Georgia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

spinal procedures

In 2023, Dr. Ty William Carter, MD performed more spinal procedures procedures for Medicare patients than 90% of providers in related specialties within Georgia.

Top 25%

By Volume:

inpatient hospital care

spinal decompression surgery

spine MRI

X-rays

By Affordability:

laminectomy lead placement for spinal cord stimulation

In 2013, among providers in related specialties within Georgia, Dr. Ty William Carter, MD performed more inpatient hospital care (for patient admitted to hospital), spinal decompression surgery, spine MRI, and X-rays procedures for Medicare patients than 75% of them and he also had a list price for laminectomy lead placement for spinal cord stimulation that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2013 were spinal procedures, X-rays, injections and aspiration.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	29
aspiration	107
decompression surgery	65
doctor visit	1071
hip imaging	33
hospital care	83
image guided procedures	14
implant surgery	26
injections	135
inpatient care	83
minimally invasive procedures	14
musculoskeletal imaging	66
neck surgery	11
nerve procedures	65
neurostimulator lead placement	26
neurostimulator replacement	26
pain management	28
pelvic imaging	35
spinal procedures	512
X-rays	432

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	273
Female	466

**Ethnicity**
Non-Hispanic White	611
Black	113
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	317
From 75 to 84	208
85 and over	98
Less than 65	116

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2013

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2013 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	72
High Cholesterol	64
Stroke	4
Ischemic Heart Disease	37
Depression	24
Chronic Kidney Disease	20
Asthma	8
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	31
Dementia	9
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2014 were spinal procedures, X-rays, injections and aspiration.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	13
aspiration	95
decompression surgery	84
doctor visit	1135
hip imaging	15
hospital care	58
image guided procedures	20
implant surgery	18
injections	136
inpatient care	58
minimally invasive procedures	20
musculoskeletal imaging	85
nerve procedures	84
neurostimulator lead placement	18
neurostimulator replacement	18
pain management	41
pelvic imaging	17
spinal procedures	505
X-rays	437

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	277
Female	510

**Ethnicity**
Non-Hispanic White	658
Black	114
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	322
From 75 to 84	238
85 and over	85
Less than 65	142

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2014

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2014 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	74
High Cholesterol	61
Stroke	3
Ischemic Heart Disease	36
Depression	26
Chronic Kidney Disease	19
Asthma	6
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	9
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2015 were X-rays, spinal procedures, musculoskeletal imaging and injections.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	43
aspiration	135
decompression surgery	95
doctor visit	1354
hip imaging	60
hospital care	64
implant surgery	15
injections	173
inpatient care	64
musculoskeletal imaging	206
neck surgery	17
nerve procedures	95
neurostimulator replacement	15
pain management	38
pelvic imaging	40
spinal procedures	566
X-rays	627

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	636
Female	1020

**Ethnicity**
Non-Hispanic White	1362
Black	252
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	752
From 75 to 84	496
85 and over	174
Less than 65	234

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2015

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2015 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	74
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	38
Depression	24
Chronic Kidney Disease	24
Asthma	12
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	15
Diabetes	32
Dementia	10
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2016 were spinal procedures, X-rays, injections and nerve procedures.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	52
aspiration	55
decompression surgery	98
doctor visit	1184
hospital care	70
image guided procedures	14
implant surgery	17
injections	106
inpatient care	70
minimally invasive procedures	14
musculoskeletal imaging	41
neck surgery	23
nerve procedures	98
neurostimulator lead placement	17
neurostimulator replacement	17
pain management	51
spinal procedures	577
X-rays	390

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	274
Female	455

**Ethnicity**
Non-Hispanic White	604
Black	107
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	307
From 75 to 84	206
85 and over	94
Less than 65	122

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2016

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	38
Depression	26
Chronic Kidney Disease	32
Asthma	19
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	17
Diabetes	35
Dementia	12
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2017 were spinal procedures, X-rays, injections and inpatient care.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	35
aspiration	72
decompression surgery	81
doctor visit	1180
fracture surgery	12
hospital care	88
implant surgery	26
injections	105
inpatient care	88
lower extremity surgery	12
musculoskeletal imaging	46
neck surgery	12
nerve procedures	81
neurostimulator lead placement	25
neurostimulator replacement	26
pain management	33
spinal procedures	559
X-rays	413

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	283
Female	427

**Ethnicity**
Non-Hispanic White	573
Black	118
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	333
From 75 to 84	204
85 and over	72
Less than 65	101

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2017

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2017 were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	73
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	32
Depression	28
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	16
Diabetes	33
Dementia	9
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2018 were spinal procedures, X-rays, injections and aspiration.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	41
aspiration	118
decompression surgery	77
doctor visit	1322
hospital care	65
implant surgery	19
injections	173
inpatient care	65
musculoskeletal imaging	62
neck surgery	19
nerve procedures	77
neurostimulator lead placement	16
neurostimulator replacement	19
pain management	36
spinal procedures	672
X-rays	553

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	322
Female	483

**Ethnicity**
Non-Hispanic White	667
Black	121
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	361
From 75 to 84	245
85 and over	83
Less than 65	116

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2018

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2018 were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	73
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	33
Depression	27
Chronic Kidney Disease	32
Asthma	8
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Dementia	9
Cancer	9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2019 were spinal procedures, X-rays, injections and aspiration.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	40
aspiration	89
decompression surgery	68
doctor visit	1201
hospital care	62
image guided procedures	12
immobilization	13
injections	136
inpatient care	62
minimally invasive procedures	12
musculoskeletal imaging	63
neck surgery	13
nerve procedures	68
pain management	34
spinal procedures	588
X-rays	497

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	315
Female	457

**Ethnicity**
Non-Hispanic White	643
Black	106
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	356
From 75 to 84	229
85 and over	92
Less than 65	95

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2019

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2019 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	74
High Cholesterol	64
Stroke	5
Ischemic Heart Disease	31
Depression	27
Chronic Kidney Disease	32
Asthma	8
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	28
Dementia	10
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2020 were spinal procedures, X-rays, inpatient care and hospital care.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	36
aspiration	52
decompression surgery	66
doctor visit	819
hospital care	102
implant surgery	12
injections	67
inpatient care	102
musculoskeletal imaging	13
neck surgery	16
nerve procedures	66
neurostimulator lead placement	12
neurostimulator replacement	12
pain management	15
spinal procedures	465
X-rays	329

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	219
Female	328

**Ethnicity**
Non-Hispanic White	472
Black	64
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	238
From 75 to 84	184
85 and over	59
Less than 65	66

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2020

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2020 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	74
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	32
Depression	28
Chronic Kidney Disease	34
Asthma	7
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	31
Dementia	13
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2021 were spinal procedures, X-rays, injections and nerve procedures.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	44
aspiration	43
decompression surgery	65
doctor visit	925
hospital care	22
image guided procedures	18
injections	86
inpatient care	22
minimally invasive procedures	18
MRI (magnetic resonance imaging)	20
musculoskeletal imaging	29
neck surgery	15
nerve procedures	65
pain management	43
spinal procedures	614
X-rays	460

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	242
Female	331

**Ethnicity**
Non-Hispanic White	505
Black	55
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	266
From 75 to 84	187
85 and over	72
Less than 65	48

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2021

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	66
Stroke	7
Ischemic Heart Disease	32
Depression	28
Chronic Kidney Disease	33
Asthma	8
Osteoperosis	11
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	30
Dementia	14
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2022 were spinal procedures, X-rays, MRI (magnetic resonance imaging) and injections.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	34
aspiration	35
decompression surgery	26
doctor visit	846
hip imaging	15
hospital care	70
image guided procedures	29
implant surgery	22
injections	88
inpatient care	70
minimally invasive procedures	29
MRI (magnetic resonance imaging)	185
musculoskeletal imaging	15
neck surgery	13
nerve procedures	26
neurostimulator lead placement	20
neurostimulator replacement	22
pain management	53
spinal procedures	642
X-rays	326

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	234
Female	333

**Ethnicity**
Non-Hispanic White	490
Black	59
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	185
85 and over	72
Less than 65	60

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2022

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2022 were high cholesterol, hypertension, diabetes and depression.

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	25
Depression	26
Chronic Kidney Disease	22
Asthma	11
Osteoperosis	15
Atrial Fibrilation	14
Heart Failure	14
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Dementia	10
Cancer	16

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA during 2023 were spinal procedures, X-rays, MRI (magnetic resonance imaging) and inpatient care.

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

arthrodesis (bone fusion surgery)	34
aspiration	12
decompression surgery	37
doctor visit	709
hospital care	44
image guided procedures	12
implant surgery	20
injections	43
inpatient care	44
minimally invasive procedures	12
MRI (magnetic resonance imaging)	93
neck surgery	16
nerve procedures	37
neurostimulator lead placement	14
neurostimulator replacement	20
pain management	31
spinal procedures	520
X-rays	302

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	221
Female	333

**Ethnicity**
Non-Hispanic White	478
Black	51
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	204
85 and over	65
Less than 65	33

Conditions of Medicare patients treated by Dr. Ty William Carter, MD in 2023

The most common conditions of Medicare patients that Dr. Ty William Carter, MD treated during 2023 were high cholesterol, hypertension, diabetes and depression.

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	24
Depression	24
Chronic Kidney Disease	22
Asthma	10
Osteoperosis	14
Atrial Fibrilation	15
Heart Failure	12
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	8
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Ty William Carter, MD for Medicare patients.

The highest averages for the top procedures that Dr. Ty William Carter, MD treated as a spine surgeon in Aiken, GA were spinal procedures, X-rays, injections and MRI (magnetic resonance imaging).

arthrodesis (bone fusion surgery)	36
aspiration	73
decompression surgery	69
doctor visit	1067
fracture surgery	12
hip imaging	30
hospital care	66
image guided procedures	17
immobilization	13
implant surgery	19
injections	113
inpatient care	66
lower extremity surgery	12
minimally invasive procedures	17
MRI (magnetic resonance imaging)	99
musculoskeletal imaging	62
neck surgery	15
nerve procedures	69
neurostimulator lead placement	18
neurostimulator replacement	19
pain management	36
pelvic imaging	30
spinal procedures	565
X-rays	433

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Ty William Carter, MD.

**Gender**
Male	299
Female	467

**Ethnicity**
Black / African American	105
Asian / Pacific Islander	0
Non-Hispanic White	642
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	235
85 and over	87
Less than 65	103
65 to 74	341

Average of Total of Conditions of Medicare patients treated by Dr. Ty William Carter, MD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Ty William Carter, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	74
High Cholesterol	64
Stroke	5
Ischemic Heart Disease	32
Depression	26
Chronic Kidney Disease	27
Asthma	9
Osteoporosis	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Atrial Fibrillation	10
Dementia	10
Cancer	11

Education & Training

Dr. Ty William Carter, MD graduated from Mercer University School of Medicine in 1996. He has a state license in South Carolina.

Medical School: Mercer University School of Medicine (1996)

Licensed In: South Carolina

Affiliations & Hospitals

Dr. Ty William Carter, MD is associated with these hospitals and organizations:

AUGUSTA ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS, PC

Georgia Carolina Orthopedics

Ratings & Reviews

Dr. Ty William Carter, MD has an exceptional overall rating with an average of 4.89 out of 5 stars based on 975 ratings. We collect ratings and reviews of Dr. Ty William Carter, MD from all over the web to help you find the right in Aiken, GA.

4.89

Overall Rating

(975 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Ty William Carter, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Nevro Corp.	$1,856 Omnia $923	Senza Spinal Cord Stimulation System $795	Senza $138
Abbott Laboratories	$1,679 Cardiac Mapping System $697	SCS IPGs $578	Penta SCS Leads $152	Octrode SCS Leads $67	Proclaim Family of SCS IPGs $58	Other $127
Medtronic USA, Inc.	$1,519 KYPHON Balloon Kyphoplasty $782	CLYDESDALE $485	ADAPTIVESTIM $130	RESTORE $65	Spinal Cord Neurostimulation - Neuro $58
NUVASIVE, INC.	$1,123 XLIF $626	Thoracolumbar $148	COHERE $131	Cervicothoracic $126	TLIF $66	Other $25
Alphatec Spine, Inc	$1,090 Other - Miscellaneous $659	$431
Other	$3,573 INTELLIS ADAPTIVESTIM $400	BARRICAID ACD (ANNULAR CLOSURE DEVICE) $283	CLYDESDALE PTC SPINAL SYSTEM $242	Interventional Therapies $200	Neuro-Chronic Pain $161	Other $2,287

**Types of Payments**
Food and Beverage	$7,868
Travel and Lodging	$2,959
Education	$12

Biography

Dr. Ty Carter works as a spine surgery and orthopedics/orthopedic surgery. He studied medicine at Mercer University School of Medicine. Dr. Carter has a 5.0 out of 5 star average patient rating.