Baker, John

Baker, John was paid $76K by Medicaid between Sep 2019 and Aug 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider infoBAKER, JOHN
ROARING SPRING, PA 16673

33aNPI1386654697assigned 08/09/2006

33bProvider typeFamily Medicine Physician

28Total paid$76K

24GClaims1,223

24DCodes billed3

24AFirst – last monthSep 2019 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#750 of 2,756

Median peer was paid$19K

This provider vs. median4.0×

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	61	$2K
2020	21	$654.50
2021	298	$9K
2022	157	$5K
2023	327	$21K
2024incomplete	359	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	55%	426	411	$42K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	38%	604	592	$29K
99282	Emergency department visit for the evaluation and management, low to moderate severity	6.7%	193	193	$5K

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.