Stephen M Baker O D, PLLC
Stephen M Baker O D, PLLC was paid $397K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
33Billing provider infoSTEPHEN M BAKER O D, PLLC
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1205368750assigned 04/03/2017
33bProvider typeOptometrist
28Total paid$397K
24GClaims14,108
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#245 of 1,605
Median peer was paid$29K
This provider vs. median14×
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 | 12 | $20.10 | |
| 2019 | 65 | $5K | |
| 2020 | 976 | $26K | |
| 2021 | 1,852 | $53K | |
| 2022 | 3,120 | $79K | |
| 2023 | 2,270 | $58K | |
| 2024incomplete | 5,813 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 1,151 | 1,141 | $97K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 22% | 1,960 | 765 | $86K |
| 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 | 19% | 1,270 | 1,264 | $75K |
| 92065 | 13% | 1,956 | 759 | $52K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.8% | 1,500 | 742 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 401 | 382 | $17K |
| 92250 | 4.2% | 401 | 400 | $17K | |
| V2020 | Frames, purchases | 2.9% | 964 | 949 | $11K |
| 92015 | Determination of refractive state | 1.5% | 2,593 | 2,555 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,858 | 914 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $1K |
| 92083 | <1% | 27 | 27 | $1K |
1 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 15 | $582.00 |
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.
From NPPES
Who's on the registration
Authorized officialBAKER, STEPHEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valuecare Medical Logistics, LLC | Zanesville, OH | $806K |
| S. Baker Medical | Mobile, AL | $223K |
| Full Spectrum Pediatrics, PC | Anchorage, AK | $96K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.