Terry Baker, M.D.P.A.

Terry Baker, M.D.P.A. was paid $120K by Medicaid between Oct 2018 and Jan 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoTERRY BAKER, M.D.P.A.
IDAHO FALLS, ID 83404

33aNPI1649305186assigned 02/23/2007

33bProvider typeOtolaryngology Physician

28Total paid$120K

24GClaims1,867

24DCodes billed4

24AFirst – last monthOct 2018 – Jan 2024

Compared with peers

Next to other Otolaryngology Physician providers in Idaho

Rank by total paid#5 of 10

Median peer was paid$118K

This provider vs. median1.0×

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
2018	28	$2K
2019	319	$21K
2020	337	$22K
2021	400	$23K
2022	488	$31K
2023	283	$20K
2024incomplete	12	$852.38

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	48%	1,042	975	$57K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	48%	771	768	$57K
70486		3.5%	40	40	$4K
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	1.1%	14	13	$1K

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 officialBAKER, TERRY (PHYSICIAN)

Parent organizationTERRY BAKER, MDPA