Physician
Baker, Thomas
Baker, Thomas was paid $5K by Medicaid between Sep 2022 and Oct 2024, across 7 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 49% of everything it billed.
33Billing provider infoBAKER, THOMAS
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
33aNPI1093756207assigned 06/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$5K
24GClaims259
24DCodes billed7
24AFirst – last monthSep 2022 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,958 of 2,756
Median peer was paid$19K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 12 | $19.80 | |
| 2023 | 28 | $13.20 | |
| 2024incomplete | 219 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 49% | 29 | 29 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 44% | 26 | 26 | $2K |
| 92551 | 3.8% | 45 | 45 | $176.00 | |
| 99173 | 3.1% | 72 | 72 | $143.80 | |
| 96160 | <1% | 45 | 45 | $11.49 | |
| 96127 | <1% | 30 | 30 | $4.40 | |
| 90619 | 0% | 12 | 12 | $0.00 |
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.