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

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

James Baldwin (NPI 1467421503)

Field	Value
Entity Type	Individual
Organization	James Baldwin
Address	1500 Salem St
City	Lafayette
State	IN
ZIP	47904
Taxonomy	Plastic Surgery Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$44.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	30	$540	$13.6K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	40	$310	$10.8K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	10	$540	$6.5K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	20	$280	$6.4K
11642	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	40	$100	$3.7K
11622	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).	20	$100	$1.8K
11602	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.	20	$100	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

James Baldwin — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13132	36	50	60	$190	$19.6K
14040	24	30	30	$540	$17.9K
14060	22	50	20	$510	$15.9K
13121	37	50	40	$200	$14.5K
11642	9	20	40	$100	$6K
11602	53	80	20	$90	$3.2K
11622	6	10	20	$90	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Oaks Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$135.3M
Wabash Center, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Community Ventures In Living, Ltd.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$34M
Riggs Community Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$22.2M
Franciscan Health Lafayette	IN	Land Ambulance	$1.4M	$8.8M
Help At Home, LLC	IN	Nursing Care Agency	$0	$8.3M
Lafayette School Corporation	IN	Local Education Agency (LEA)	$0	$5.3M
Lafayette Pediatric Dentistry & Orthodontics	IN	Dentist	$0	$4.1M
Rodney Kusumi	IN	Ophthalmology Physician	$2M	$0
Arnett Clinic, LLC	IN	Clinical Medical Laboratory	$330.3K	$1.1M

James Baldwin — Billing Profile & Reimbursement Data

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James Baldwin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References