Physician
OIG excluded
Baul, Terry
Baul, Terry was paid $165K by Medicaid between Jan 2018 and Nov 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoBAUL, TERRY
DETROIT, MI 48224
DETROIT, MI 48224
33aNPI1942375837assigned 11/24/2006
33bProvider typeGeneral Practice Physician
28Total paid$165K
24GClaims7,566
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other General Practice Physician providers in Michigan
Rank by total paid#38 of 91
Median peer was paid$81K
This provider vs. median2.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (11/20/2024).
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 | 3,012 | $85K | |
| 2019 | 2,816 | $44K | |
| 2020 | 1,738 | $35K |
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 | 79% | 2,824 | 2,779 | $130K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 19% | 372 | 357 | $31K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 654 | 646 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | 17 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 12 | $530.53 |
| 3074F | 0% | 232 | 231 | $0.00 | |
| 3075F | 0% | 474 | 468 | $0.00 | |
| 3008F | 0% | 1,557 | 1,539 | $0.00 | |
| 3079F | 0% | 254 | 249 | $0.00 | |
| 3080F | 0% | 167 | 165 | $0.00 | |
| 3078F | 0% | 616 | 610 | $0.00 | |
| 3077F | 0% | 386 | 381 | $0.00 |
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.