Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Teri Lynne Baumgartner M.D. PLLC

Teri Lynne Baumgartner M.D. PLLC was paid $58K by Medicaid between Feb 2019 and Dec 2020, across 14 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 26% of everything it billed.

33Billing provider infoTERI LYNNE BAUMGARTNER M.D. PLLC
ATHENS, TX 75751
33aNPI1669785762assigned 07/16/2010
28Total paid$58K
24GClaims1,682
24DCodes billed14
24AFirst – last monthFeb 2019 – Dec 2020
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#254 of 432
Median peer was paid$103K
This provider vs. median0.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201938$93.44
20201,644$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 26% 27 26 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 462 327 $14K
59430 11% 74 74 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9.7% 68 51 $6K
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 9.4% 129 98 $5K
76801 5.8% 40 39 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.7% 42 36 $3K
81002 2.7% 616 395 $2K
90658 1.3% 25 25 $773.03
81025 1.3% 127 120 $748.04
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 13 13 $675.81
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.1% 12 12 $643.12
2 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 $156.12
85018 <1% 33 $66.30

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 officialBENNETT, JENNIFER (OFFICE MANAGER)