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    OpenPayerNPI Medicare & MedicaidWallace Baker
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    Wallace Baker — Billing Profile & Reimbursement Data

    NPI 1083696967 · Idaho Falls, ID · Family Medicine Physician

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    Wallace Baker is a family medicine physician provider located in Idaho Falls, Idaho. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWallace Baker
    Address1880 John Adams Pkwy
    CityIdaho Falls
    StateID
    ZIP83401
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$66.4K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…260$50$13.8K
    99214The 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…170$70$12K
    99213The 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…210$50$10.9K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…110$100$10.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$5.2K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…30$140$3.6K
    G0008Administration of influenza virus vaccine80$30$2.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…180$10$1.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.200$10$1.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…120$10$1.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    906629022060$70$161.5K
    G000815841050$30$42.3K
    992147712,69090$70$10.4K
    992134162,77070$50$5.7K
    99308118060$50$5.4K
    9930533020$90$4.3K
    8763621020$140$3.2K
    364157749070$10$1.3K
    9921185040$20$920
    G0180147020$40$820

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wallace C BakerIDFamily Medicine Physician$0$639.1K
    Jessica ChristensenIDNurse Practitioner$24K$0
    Joshua HansenIDMedical Physician Assistant$22.7K$0
    Phillip MarloweIDPhysician Assistant$3.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bonneville School Dist #93IDLocal Education Agency (LEA)$0$27.5M
    Idaho Falls School District 91IDLocal Education Agency (LEA)$0$11.2M
    Affiliates Inc.IDDevelopmentally Disabled Services Day Training Agency$0$9.9M
    Transitions, Inc.IDDevelopmentally Disabled Services Day Training Agency$0$7.8M
    Innovative Health Care Concepts, IncIDCase Manager/Care Coordinator$0$5.7M
    Stewards Of RecoveryIDCommunity/Behavioral Health Agency$0$5.1M
    Joshua D. Smith FoundationIDDevelopmentally Disabled Services Day Training Agency$0$4.1M
    See Opportunities And Achieve ResultsIDCase Management Agency$0$3.8M
    Porter Eyecare PLLCIDOptometrist$0$3.1M
    Denture Clinic IncIDDental Laboratory$0$3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Wallace Baker — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho