Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Vermont (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lisa Baker (NPI 1053730408)

Field	Value
Entity Type	Individual
Organization	Lisa Baker
Address	1 S Prospect St
City	Burlington
State	VT
ZIP	05401
Taxonomy	Neurology Physician
NPI Enumerated	April 14, 2014

Payer Source	Total Paid
Medicare	$37.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	180	$100	$17.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	200	$60	$12.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$100	$3.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40	$50	$1.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$1.6K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	40	$20	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Lisa Baker — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	230	960	90	$70	$10.6K
99215	31	410	40	$110	$7.2K
99232	251	320	60	$60	$7.1K
99213	657	910	80	$50	$6.7K
99205	42	140	30	$130	$4.5K
95874	4	10	60	$10	$890

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Champlain Valley Physicians Hospital Medical Center	NY	General Acute Care Hospital	$0	$35.9M
Adam Moskowitz	NY	Gastroenterology Physician	$547K	$309K
Aref Agheli	NY	Hematology & Oncology Physician	$364.3K	$1.8K
Kevin Deboer	FL	Pulmonary Disease Physician	$341.8K	$0
Kevin Dodd	NY	Gastroenterology Physician	$241.1K	$0
Albert Huho	NY	Anatomic Pathology & Clinical Pathology Physician	$169.4K	$0
Joseph Kennedy	VT	Emergency Medicine Physician	$56.3K	$109.8K
Nataniel Lester-coll	VT	Radiation Oncology Physician	$152.8K	$0
Joseph Winget	VT	Cardiovascular Disease Physician	$140.2K	$0
Harold Wallace	VT	Radiation Oncology Physician	$135.5K	$0

Lisa Baker — Billing Profile & Reimbursement Data

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Lisa Baker — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References