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

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

Brad Baker (NPI 1508853821)

Field	Value
Entity Type	Individual
Organization	Brad Baker
Address	67 Belmont Street
City	Worcester
State	MA
ZIP	01605
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	October 3, 2005

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

BRAD BAKER is a retina specialist (ophthalmology) with an NPI enumerated on 2005-10-03 (~21 years ago), indicating long tenure in Medicare billing and an established clinical presence in Worcester, MA. The provider's lifetime Medicare revenue on file is $2.5M and there is no Medicaid billing on file, so the practice is effectively single-payer in these datasets and Medicare dominates observable public reimbursement activity.

Medicare revenue is highly concentrated in intravitreal biologic injections: J0178, J2777, and 67028 together account for 85.8% of this provider's total Medicare revenue according to the precomputed share. This mix indicates the practice is primarily delivering high-volume medical retina services centered on anti-VEGF and related intraocular injection therapies rather than primarily surgical retina or broad ophthalmology office evaluation services.

J0178 (aflibercept) is the single largest revenue driver with $1.2M and representing 50.2% of Medicare revenue; the provider’s national rank for J0178 is #641 of 3204 (80th percentile), which signals typical, unremarkable volume relative to peers — substantial local activity but not a national outlier. J2777 (faricimab) contributes $722.1K (29.4% of Medicare revenue) and ranks #391 of 2039 providers (81st percentile), similarly indicating solid but not dominant national participation in newer biologic treatments.

The third major contributor, 67028 (intravitreal injection as an isolated procedure), accounts for $153.6K (6.2% of Medicare revenue) and ranks #713 of 4255 providers (83rd percentile), reinforcing that isolated intravitreal injections are a routine, consistent part of this clinician’s service mix. Combined, these top three codes reflect a practice model focused on recurring, procedure-based treatment for retinal disease rather than episodic diagnostic-only care.

Beyond injections, the provider shows unusually high utilization of retinal imaging: 92134 has 2.4K claims yielding $73.5K (3.0% of Medicare revenue) and ranks #736 of 26868 providers (97th percentile) — labeled an "extreme outlier, far above typical national volume for this code." This suggests heavy use of computerized retinal imaging for monitoring and follow-up, consistent with ongoing management of chronic retinal conditions that require frequent objective imaging.

Other evaluation and management codes (92014, 92012, 92004) and occasional surgical entries (e.g., 67042 with 17 claims for $15.4K) appear at expected or modest levels and generally rank in non-outlier percentile positions. For example, 92014 ranks in the 90th percentile nationally for volume, indicating active established-patient care, while 67042 sits near the middle of national ranks (36th percentile) for that surgical code, indicating limited surgical retina case volume relative to peers.

The absence of any Medicaid billing on file is notable: this provider has no Medicaid claims reported in the dataset, so comparisons of payer mix should treat BRAD BAKER as effectively single-payer (Medicare) within the available administrative records. This limits visibility into low-income or dual-eligible patient volume and suggests payer-concentration risk in analyses that assume broader mixed-payer flows.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,790	$690	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	24,900	$30	$722.1K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,580	$100	$153.6K
J2778	Injection, ranibizumab, 0.1 mg	670	$180	$121.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,370	$30	$73.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	690	$90	$65K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	490	$70	$32.4K
J9035	Injection, bevacizumab, 10 mg	410	$50	$21.9K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$900	$15.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	130	$110	$14.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Brad Baker — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	90	790	$690	$826.5K
J2777	5	50	7,080	$30	$343.1K
J2778	12	30	560	$180	$200.7K
67028	22	120	570	$100	$80.7K
92014	160	1,070	160	$90	$30.1K
67042	13	30	20	$1,170	$25.7K
J9035	23	80	250	$50	$19.7K
92012	56	560	90	$70	$12.4K
92134	24	670	70	$30	$10.6K
92004	98	890	40	$100	$6.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliant Medical Group, Inc	MA	Family Medicine Physician	$0	$101.8M
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Sean Garrity	AZ	Ophthalmology Physician	$3.4M	$0
Adam Chin	MA	Ophthalmology Physician	$3.4M	$870
David Lally	MA	Ophthalmology Physician	$3.2M	$670
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Bryan Hong	MA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Marianeli Rodriguez	MA	Ophthalmology Physician	$2.4M	$0
Anthony Joseph	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Mark Dacey	MA	Ophthalmology Physician	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Systems, Inc	MA	Addiction (Substance Use Disorder) Counselor	$6M	$187.4M
Edward M. Kennedy Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$55.2M
Prestige Adult Foster Care LLC.	MA	In Home Supportive Care Agency	$0	$54.1M
Autism Therapuetic Services LLC	MA	Early Intervention Provider Agency	$0	$23M
Catholic Charities Of The Diocese Of Worcester	MA	Developmentally Disabled Services Day Training Agency	$0	$17.2M
City Home Care, LLC	MA	Home Health Agency	$0	$15.9M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Pinnacle Home Healthcare Services, Inc	MA	Home Health Agency	$0	$13.3M
Adcare Hospital Of Worcester, Inc.	MA	General Acute Care Hospital	$0	$13.2M
The Bridge Of Central Massachusetts, Inc.	MA	Community/Behavioral Health Agency	$0	$5.5M

Brad Baker — Billing Profile & Reimbursement Data

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Brad Baker — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References