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    OpenPayerNPI Medicare & MedicaidJunaid Baqai
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    Junaid Baqai — Billing Profile & Reimbursement Data

    NPI 1093989212 · Springfield, IL · Anatomic Pathology & Clinical Pathology Physician

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    Junaid Baqai is a anatomic pathology & clinical pathology physician provider located in Springfield, Illinois. This profile covers 21 Medicare and 57 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
    OrganizationJunaid Baqai
    AddressMemorial Medical Ctr
    CitySpringfield
    StateIL
    ZIP62781
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedApril 18, 2008

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

    Payer SourceTotal Paid
    Medicaid$492.5K
    Medicare$72K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…570$30$15.4K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…580$20$12.1K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.150$60$9.5K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…160$30$4.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…70$60$4K
    88374The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides…120$30$3.7K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…120$30$3.6K
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.90$40$3.1K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…190$10$2.5K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305304580610$30$38.2K
    8834148450210$30$11.9K
    G041610812020$210$10.9K
    88342179490120$40$9K
    883605526060$60$7.7K
    8830722739080$70$6.1K
    8818987070$70$5.8K
    8416546130110$10$4.1K
    8633450110100$20$4K
    883138128060$30$3.8K

    Showing 1–10 of 21

    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.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…2,420$40$87.3K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…1,630$40$60.2K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,770$30$60.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10,510$10$52.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.9,860$10$49.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,000$30$25.9K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.1,870$10$14.9K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…2,650$1$10.6K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.1,920$10$9.6K
    83690The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.2,750$1$8.2K

    Showing 1–10 of 57

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    57 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…4770570$50$565.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1482801,120$30$218.9K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.49110150$40$184.1K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…88110200$40$111.1K
    0241UN/A142260120$100$91.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.140740960$10$75.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…333530840$10$73.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…143830700$1$47.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…143610820$40$46.6K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…143190160$60$45.7K

    Showing 1–10 of 57

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Chad DefrainILAnatomic Pathology & Clinical Pathology Physician$42.1K$5M
    Ankur ShahINRetina Specialist (Ophthalmology) Physician$1.6M$1.4M
    James WadeILMedical Oncology Physician$2.6M$35.2K
    Sebastien KairouzILHematology & Oncology Physician$2.1M$425.9K
    Hanna SabaILHematology & Oncology Physician$2.2M$334K
    Venkata DamarlaILHematology & Oncology Physician$1.7M$106.4K
    Mhd Yahia ZeinoILObstetrics & Gynecology Physician$9.2K$1.3M
    Casey DuncanILRadiation Oncology Physician$1.2M$4.2K
    Maurice SchuetzILAnatomic Pathology & Clinical Pathology Physician$85.7K$1.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Home ServicesILHome Health Agency$0$3.5M
    Memorial Medical CenterILGeneral Acute Care Hospital$0$3.1M
    Marisa BlitsteinILDiagnostic Radiology Physician$190.6K$556K
    Daniel FerraroILRadiation Oncology Physician$247.2K$0
    Nassim BanisaeedILAnatomic Pathology & Clinical Pathology Physician$108K$135.1K
    Allison RetzerILDiagnostic Radiology Physician$177.5K$0
    Alex HallILDiagnostic Radiology Physician$174.2K$0
    Christopher BradburyILRadiation Oncology Physician$146.7K$1.5K
    Cullen HoosILHospitalist Physician$104.6K$20.6K
    Sajedabanu MominILHospitalist Physician$75.5K$14.7K

    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. Illinois Distribution
    Junaid Baqai — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Junaid Baqai — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois