Baumgartner, Robert

Baumgartner, Robert was paid $216K by Medicaid between Jan 2018 and Mar 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoBAUMGARTNER, ROBERT
SILVER SPRING, MD 20910

33aNPI1093801813assigned 10/05/2006

33bProvider typeOtolaryngology Physician

28Total paid$216K

24GClaims3,320

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Otolaryngology Physician providers in Maryland

Rank by total paid#6 of 26

Median peer was paid$9K

This provider vs. median25×

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	587	$22K
2019	186	$6K
2020	2,235	$164K
2021	312	$24K

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	31%	1,024	947	$67K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18%	396	394	$39K
31231		17%	233	216	$36K
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	16%	370	339	$36K
92588		5.2%	392	373	$11K
92557		4.1%	292	276	$9K
92550		4.0%	390	373	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	105	104	$4K
99242		1.9%	48	45	$4K
92556		<1%	29	27	$940.93
92552		<1%	29	27	$685.80
69210		<1%	12	12	$29.04

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.