Baker, Terry

Baker, Terry was paid $182K by Medicaid between Jan 2018 and Dec 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoBAKER, TERRY
IDAHO FALLS, ID 83404

33aNPI1568406148assigned 06/15/2006

33bProvider typeOtolaryngology Physician

28Total paid$182K

24GClaims2,696

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Otolaryngology Physician providers in Idaho

Rank by total paid#4 of 10

Median peer was paid$118K

This provider vs. median1.5×

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	649	$44K
2019	410	$27K
2020	418	$28K
2021	526	$32K
2022	422	$30K
2023	271	$20K

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	55%	1,920	1,782	$99K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	477	468	$38K
42820	Tonsillectomy and adenoidectomy; younger than age 12	14%	123	120	$26K
70486		5.8%	112	112	$11K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	2.6%	30	29	$5K
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	1.8%	34	33	$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.