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    OpenPayerNPI Medicare & MedicaidKevin Baker
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    Kevin Baker — Billing Profile & Reimbursement Data

    NPI 1053639484 · Stony Brook, NY · Diagnostic Radiology Physician

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    Kevin Baker is a diagnostic radiology physician provider located in Stony Brook, New York. This profile covers 59 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKevin Baker
    AddressHsc Level 4 Rm 120
    CityStony Brook
    StateNY
    ZIP11794
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 10, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$246.2K
    Medicaid$18.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2,770$10$22.1K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.180$110$19.2K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.790$20$16.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…930$20$15.9K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.870$20$15.7K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…310$50$15K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.940$20$14.1K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.620$20$13.5K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…110$130$13.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.820$10$10.7K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    737218148050$120$13.5K
    732218140040$120$9.9K
    737183420030$140$6.7K
    71045461,370290$10$5.1K
    76881513050$40$3.9K
    73720138020$140$3.6K
    735641092040$30$2.7K
    737003943030$50$2.5K
    732001418020$70$2.5K
    710466332,34060$10$2.4K

    Showing 1–10 of 59

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…4,730$1$14.2K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…400$1$1.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…50$10$380
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.100$1$200
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.30$10$170
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.80$1$160
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.60$1$120
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.40$1$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…6191,510230$10$28.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.305440250$20$19.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.419690190$20$18.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1961,610600$10$16.9K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.314410350$10$14.8K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.369470180$10$11.7K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…178270100$10$7.2K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.294460140$10$7.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kevin Baker, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Geisinger Pharmacy LLCPAPharmacy$0$26.7M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Caring Community Health CenterPAFederally Qualified Health Center (FQHC)$0$17.4M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Caring Community Health CenterPAFederally Qualified Health Center (FQHC)$0$9.7M

    Nearby Providers

    Other providers in the same ZIP code as Kevin Baker, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Hospital At Stony BrookNYGeneral Acute Care Hospital$0$105.3M
    Stony Brook Children's Service, University Faculty Practice CorporatioNYPediatrics Physician$0$24.1M
    Dinko FranceschiNYNuclear Radiology Physician$1.8M$73.6K
    William CaldwellNYPain Medicine (Anesthesiology) Physician$788K$5.1K
    Matthew ComitoNYDiagnostic Radiology Physician$642.6K$67K
    Jordan SlutskyNYMOHS-Micrographic Surgery Physician$605.1K$0
    Roger FanNYCardiovascular Disease Physician$539.3K$100
    Travis BenchNYCardiovascular Disease Physician$471.2K$200
    Lachlan SmithNYDiagnostic Radiology Physician$416.1K$46.6K
    Jason KimNYUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$418.6K$5.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Kevin Baker — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Kevin Baker — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York