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

    NPI 1508839622 · Nashville, TN · Cardiovascular Disease Physician

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    Michael Baker is a cardiovascular disease physician provider located in Nashville, Tennessee. This profile covers 22 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Baker
    Address3601 The Vanderbilt Clinic
    CityNashville
    StateTN
    ZIP37232
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedFebruary 9, 2006

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

    Payer SourceTotal Paid
    Medicare$114.3K
    Medicaid$37.7K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…750$50$39.1K
    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…490$70$33.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,510$10$9.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$110$6.5K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…70$80$4.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$50$4.6K
    92960In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.40$80$3K
    93308The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…120$20$2.2K
    93350In this procedure, the provider performs transthoracic echocardiography both at rest and after exercise to review images. He evaluates and assesses global and ventricular performance and cardiac…40$50$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$100$1.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,33611,370120$80$16.6K
    9330626590180$60$15.8K
    992322,1153,990100$60$11.4K
    992159022,71040$110$8.3K
    992044,1685,49030$100$5.3K
    992222,5112,63030$90$3.9K
    364152,0243,310120$10$3.2K
    933123323030$80$3.2K
    9923841993030$60$2.5K
    929603917020$80$2.1K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…810$40$32.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,110$10$5.5K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.40$10$270

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…98240510$50$125.9K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.136410400$1$22.1K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.102040$20$2.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vanderbilt University Medical CenterTNInternal Medicine Physician$0$189.5M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$137.7M
    Vanderbilt University Medical CenterTNMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$8M
    Antonia KolokythasTNOral and Maxillofacial Surgery (Dentist)$0$5.9M
    Vanderbilt Integrated Providers, LLCTNFamily Medicine Physician$0$4.3M
    Anita AgarwalCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Heather TamezMDRetina Specialist (Ophthalmology) Physician$1.3M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Kenneth NiermannTNRadiation Oncology Physician$625.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Han-chih ChangTNRadiation Oncology Physician$2.6M$0
    Emily CarpenterTNNurse Practitioner$747.9K$0
    Stephen KimTNOphthalmology Physician$608.9K$0
    Corbin JohnsonTNRadiation Oncology Physician$577.1K$0
    Avni FinnTNOphthalmology Physician$504.5K$0
    Dinesh GuptaTNCardiovascular Disease Physician$397.9K$80.2K
    Dong KimTNRadiation Oncology Physician$469.4K$0
    Anthony CmelakTNRadiation Oncology Physician$391.9K$0
    Ryszard DworskiTNAllergy & Immunology Physician$376.5K$2.4K
    Nathan PodollTNOphthalmology Physician$363.9K$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. Tennessee Distribution
    Michael Baker — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Michael Baker — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee