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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Baldwin Emergency Physicians, P.C.. (NPI 1154378271)

Field	Value
Entity Type	Organization
Organization	Baldwin Emergency Physicians, P.C..
Address	750 Morphy Ave
City	Fairhope
State	AL
ZIP	36532
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	45,120	$70	$3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	54,280	$50	$2.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	21,630	$40	$843.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	12,270	$10	$61.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	280	$30	$7.7K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$40	$1K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	30	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	60	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Baldwin Emergency Physicians, P.C.. — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	11	240	4,820	$60	$807.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	6	190	1,480	$100	$730.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	36	230	5,160	$40	$474.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	29	60	270	$110	$94.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	17	170	890	$10	$25.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	4	10	30	$30	$2.5K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	13	20	40	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	28	30	260	$0	$0

Nearby Providers

Other providers in the same ZIP code as Baldwin Emergency Physicians, P.C.., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay Pediatric & Adolescent Dentistry	AL	Pediatric Dentistry	$0	$13.8M
Eastern Shore Children's Clinic	AL	Pediatrics Physician	$0	$7.6M
Dr. Trey's Children's Dentistry	AL	Pediatric Dentistry	$0	$5.9M
Fairhope Pediatrics, Inc.	AL	Pediatrics Physician	$0	$4.1M
Comfort Care Coastal Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$3.4M
Gulf Health Hospitals, Inc	AL	General Acute Care Hospital	$0	$2M
William Sullivan	AL	Rheumatology Physician	$1.6M	$0
Karl Hakmiller	AL	Cardiovascular Disease Physician	$981.1K	$0
Michael Pursley	AL	Specialist	$583.3K	$0
Craig Peterson	AL	Interventional Cardiology Physician	$515.6K	$0

Baldwin Emergency Physicians, P.C.. — Billing Profile & Reimbursement Data

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Baldwin Emergency Physicians, P.C.. — Billing Profile & Reimbursement Data

Sign up for Baldwin Emergency Physicians, P.C.. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References