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    OpenPayerNPI Medicare & MedicaidMichael Baker
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    Michael Baker — Billing Profile & Reimbursement Data

    NPI 1255487831 · Colorado Springs, CO · Gastroenterology Physician

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    Michael Baker is a gastroenterology physician provider located in Colorado Springs, Colorado. This profile covers 15 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
    OrganizationMichael Baker
    Address2940 N Circle Dr
    CityColorado Springs
    StateCO
    ZIP80909
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$99.2K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…170$220$36.3K
    91120N/A20$430$10.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk50$180$9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$180$7.6K
    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…80$90$6.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$140$6.7K
    91122N/A20$230$5.3K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…40$120$4.6K
    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$120$2.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.40$60$2.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853627060$310$30.5K
    4538013127050$200$16.7K
    G01053917030$290$12.9K
    992144,1138,16080$80$11.3K
    9112031020$310$10.2K
    G01212915020$300$9.2K
    4323915828050$120$9.1K
    43248239030$190$7.4K
    992322,2032,34050$60$6.5K
    992042,1433,67030$110$4.7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio State University HospitalsOHGeneral Acute Care Hospital$0$197.7M
    Osu Internal Medicine, LLCOHInternal Medicine Physician$0$28M
    Christopher MorganAZAnatomic Pathology & Clinical Pathology Physician$572.5K$0
    Michael GilgerCOAnatomic Pathology & Clinical Pathology Physician$478.4K$0
    David MeierOHInterventional Cardiology Physician$405.3K$0
    Kristopher FisherOHDermatopathology Physician$403.1K$1.3K
    David CarrOHMOHS-Micrographic Surgery Physician$261.7K$0
    Kathryn ShahwanOHMOHS-Micrographic Surgery Physician$225.5K$0
    Mark BechtelOHDermatology Physician$203.1K$0
    Ralph AugostiniOHClinical Cardiac Electrophysiology Physician$180.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Voyager Home Health Care LLCCOHome Health Agency$0$69.7M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Rocky Mountain Health Care ServicesCOPACE Provider Organization$0$38.5M
    Buck Jack LLCCOSpeech-Language Pathologist$0$32.7M
    Mountain View Home Care Inc.COIn Home Supportive Care Agency$0$19.3M
    Emergency Medical Specialists, PCCOEmergency Medicine Physician$0$13.2M
    Colorado Domestic Care Inc.COHome Health Agency$0$11.6M
    Radiology & Imaging Consultants PCCODiagnostic Radiology Physician$0$9.5M
    Hero Dental Of Springs PCCOGeneral Practice Dentistry$0$9.3M
    Retina Consultants Of Southern Colorado P CCOOphthalmology Physician$0$9M

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