Physician
Baldwin MD INC Benner MD INC & Benner MD INC Gen PTR
Baldwin MD INC Benner MD INC & Benner MD INC Gen PTR was paid $259K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoBALDWIN MD INC BENNER MD INC & BENNER MD INC GEN PTR
CARMEL, CA 93923
CARMEL, CA 93923
33aNPI1043267651assigned 05/28/2006
33bProvider typeSurgery Physician
28Total paid$259K
24GClaims3,719
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Surgery Physician providers in California
Rank by total paid#71 of 437
Median peer was paid$23K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 925 | $61K | |
| 2019 | 719 | $49K | |
| 2020 | 508 | $33K | |
| 2021 | 677 | $51K | |
| 2022 | 542 | $39K | |
| 2023 | 246 | $15K | |
| 2024incomplete | 102 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 2,528 | 2,480 | $156K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30% | 906 | 877 | $77K |
| 99223 | Prolong inpt eval add15 m | 4.5% | 117 | 113 | $12K |
| 99255 | 1.7% | 27 | 26 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 61 | 14 | $4K |
| 99254 | 1.4% | 24 | 24 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 30 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 14 | 14 | $922.30 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | 12 | $181.98 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMURRAY, KAREN (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Worcester County Orthopedics | Worcester, MA | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.