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    OpenPayerNPI Medicare & MedicaidJoel Baumgartner
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    Joel Baumgartner — Billing Profile & Reimbursement Data

    NPI 1184679607 · Waite Park, MN · Sports Medicine (Family Medicine) Physician

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    Joel Baumgartner is a sports medicine (family medicine) physician provider located in Waite Park, Minnesota. This profile covers 16 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
    OrganizationJoel Baumgartner
    Address901 3rd St N
    CityWaite Park
    StateMN
    ZIP56387
    TaxonomySports Medicine (Family Medicine) Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$53.8K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…100$90$8.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…100$60$5.7K
    64454The provider injects an anesthetic agent and/or a steroid into branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so should not be reported…30$210$5.3K
    64425The provider injects an anesthetic agent and/or steroid close to the nerves that branch from the first lumbar nerve, i.e., the ilioinguinal nerve or the iliohypogastric nerve. Report this code for…40$120$4.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…30$200$4.9K
    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…70$70$4.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$40$2.9K
    99203The provider sees a new 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 provider…30$80$2.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$90$1.9K
    99204The provider sees a new 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 provider…20$110$1.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732831019,150$1$8.9K
    992148,34210,10070$80$8.1K
    6442521070$100$6.3K
    623238714030$140$6.1K
    2061113017040$70$5.5K
    992133,0309,12050$50$4K
    992042,2133,34020$110$3.6K
    2061016486040$40$2.7K
    992038322,69020$70$2.3K
    6445452020$100$2.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unity Family HealthcareMNCritical Access Hospital$0$12.9M
    Sanjay ShahPAPain Medicine Physician$913K$0
    Eli LochFLPain Medicine (Anesthesiology) Physician$592K$0
    Eric HallLADiagnostic Radiology Physician$441.4K$18.8K
    Yun Chau LeeMNEmergency Medicine Physician$112.5K$316.1K
    Christopher WilliamsGAPhysical Medicine & Rehabilitation Physician$324.3K$0
    Cody EvansNEDiagnostic Radiology Physician$308.9K$0
    Jonathan MasurPADiagnostic Radiology Physician$307K$0
    Ariana DemersCASports Medicine (Orthopaedic Surgery) Physician$295.6K$0
    David RussoORPain Medicine (Physical Medicine & Rehabilitation) Physician$294.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connectability Of Mn, Inc.MNAdult Day Care Clinic/Center$0$36.9M
    Terrence KellerMNPhysician Assistant$98K$0

    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. Minnesota Distribution
    Joel Baumgartner — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota