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

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

Justin Baker (NPI 1366523417)

Field	Value
Entity Type	Individual
Organization	Justin Baker
Address	280 Smith Ave N
City	Saint Paul
State	MN
ZIP	55102
Taxonomy	Surgical Oncology Physician
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicare	$13.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
38525	The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…	20	$210	$3.2K
99203	The 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	$70	$2.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$2.1K
38900	The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…	20	$100	$1.8K
99204	The 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	$100	$1.6K
99212	The 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,…	50	$30	$1.4K
99213	The 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…	20	$70	$1.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$40	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Justin Baker — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	7,924	9,120	50	$50	$4K
99204	2,213	3,340	20	$110	$3.6K
38525	6	20	20	$190	$3K
99222	1,064	2,220	20	$90	$2.7K
99203	832	2,690	20	$70	$2.3K
38900	8	30	10	$110	$1.8K
99231	1,034	1,080	30	$40	$1.6K
99212	319	1,670	20	$30	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Bradley Close	MN	Diagnostic Radiology Physician	$397.3K	$0
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0
Assefa Ayalew	MN	Diagnostic Radiology Physician	$239.7K	$0
Jacob Waxman	MN	Diagnostic Radiology Physician	$231.3K	$0
Curt Behrns	MN	Diagnostic Radiology Physician	$208.9K	$0
Jay Haggerty	MN	Neuroradiology Physician	$177.3K	$28.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
Independent School District 625	MN	Local Education Agency (LEA)	$0	$43.1M
City Of St Paul	MN	Land Ambulance	$2M	$40.9M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
United Family Practice Health Center	MN	Family Medicine Physician	$0	$17.7M
Ramsey County	MN	Public Health or Welfare Agency	$0	$9.8M
Serenity Home Health Care System Inc	MN	Home Health Agency	$0	$4.6M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$4.5M
Healtheast St Josephs Hospital	MN	General Acute Care Hospital	$0	$4.3M
Mark Palmer	MN	Radiation Oncology Physician	$563.7K	$0

Justin Baker — Billing Profile & Reimbursement Data

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Justin Baker — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References