Baker, Paul

Baker, Paul was paid $52K by Medicaid between Feb 2018 and Feb 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoBAKER, PAUL
MIDDLETOWN, NY 10941

33aNPI1497889232assigned 03/15/2007

33bProvider typePediatrics Physician

28Total paid$52K

24GClaims679

24DCodes billed6

24AFirst – last monthFeb 2018 – Feb 2023

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#800 of 1,983

Median peer was paid$17K

This provider vs. median3.1×

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	15	$2K
2019	122	$5K
2020	47	$5K
2021	118	$10K
2022	332	$28K
2023	45	$4K

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	77%	440	418	$41K
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	15%	76	74	$8K
90460	Immunization administration through 18 years of age via any route, first or only component	3.3%	106	104	$2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	3.1%	22	22	$2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	1.0%	22	22	$550.00
92551		<1%	13	13	$25.52

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.