Baldwin, John

Baldwin, John was paid $429K by Medicaid between Aug 2019 and Aug 2022, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 60% of everything it billed.

33Billing provider infoBALDWIN, JOHN
HARVEY, IL 60426

33aNPI1386022432assigned 05/09/2015

33bProvider typeEmergency Medicine Physician

28Total paid$429K

24GClaims7,794

24DCodes billed5

24AFirst – last monthAug 2019 – Aug 2022

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#218 of 1,980

Median peer was paid$150K

This provider vs. median2.9×

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
2019	825	$29K
2020	2,389	$107K
2021	3,066	$193K
2022	1,514	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	60%	3,007	2,597	$258K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	25%	1,917	1,619	$105K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	1,454	1,237	$50K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.9%	1,396	1,201	$12K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	20	20	$3K

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.