James D. Baker III, M.D., PA

James D. Baker III, M.D., PA was paid $103K by Medicaid between Jan 2018 and Jun 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.

33Billing provider infoJAMES D. BAKER III, M.D., PA
JACKSONVILLE, FL 32204

33aNPI1437182896assigned 07/09/2006

33bProvider typeNephrology Physician

28Total paid$103K

24GClaims5,395

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Nephrology Physician providers in Florida

Rank by total paid#55 of 188

Median peer was paid$28K

This provider vs. median3.6×

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	271	$510.08
2019	1,430	$24K
2020	1,320	$26K
2021	1,427	$35K
2022	435	$11K
2023	431	$6K
2024incomplete	81	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	56%	3,576	1,833	$58K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	30%	799	399	$31K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	10%	944	783	$11K
99223	Prolong inpt eval add15 m	3.1%	48	36	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	14	12	$191.02
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	<1%	14	13	$57.83

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 officialKOTIHAL, RAMESH (PRESIDENT AND TREASURER)