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    OpenPayerNPI Medicare & MedicaidJames Baldwin
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    James Baldwin — Billing Profile & Reimbursement Data

    NPI 1588928444 · Mechanicsville, VA · Foot & Ankle Surgery Podiatrist

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    James Baldwin is a foot & ankle surgery podiatrist provider located in Mechanicsville, Virginia. This profile covers 37 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
    OrganizationJames Baldwin
    Address7493 Right Flank Rd
    CityMechanicsville
    StateVA
    ZIP23116
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJune 26, 2012

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

    Payer SourceTotal Paid
    Medicare$989.9K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…8,170$30$277.8K
    99213The 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…2,890$60$185.2K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.2,350$30$75.2K
    11306The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.920$70$66.1K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…1,340$30$45.4K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1,050$30$35.6K
    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…380$90$35K
    11307The provider shaves off a single epidermal or dermal lesion 1.1 to 2.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.350$90$32.5K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.880$30$30.1K
    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…280$100$29.3K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798430690$30$159.2K
    874811820200$30$59K
    992142,86012,890140$80$21K
    8765342050$30$15.5K
    8750032090$30$14.7K
    17110107530120$80$13.7K
    8764033080$30$12.6K
    15004212030$270$12.2K
    1105694190110$60$11.6K
    117213250190$30$11.4K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aaron BradleyGAFoot & Ankle Surgery Podiatrist$1.7M$0
    Renee Shepherd-smithNCFoot & Ankle Surgery Podiatrist$859.7K$0
    Steven SchaefferVAFoot & Ankle Surgery Podiatrist$406.6K$10.1K
    Munketh SalemVAFoot Surgery Podiatrist$360.3K$0
    Noel PatelVAFoot Surgery Podiatrist$323.6K$0
    William EngVAPodiatrist$181.1K$0
    Marissa IcardiVAFoot & Ankle Surgery Podiatrist$166.4K$0
    John SwangimVAPodiatrist$134K$0
    George LaneVAFoot Surgery Podiatrist$99.2K$0
    Monica KeadyVAFoot & Ankle Surgery Podiatrist$75.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours Memorial Regional Medical Center LLCVAGeneral Acute Care Hospital$0$41.9M
    Heavenly Helpers In-home ServicesVAIn Home Supportive Care Agency$0$15.3M
    Structured Living LLCVACommunity/Behavioral Health Agency$0$6.3M
    Ideal Ride Transportation Services, LLCVANon-emergency Medical Transport (VAN)$0$5.9M
    Maura HaganVAHematology & Oncology Physician$1.9M$0
    Lindsay HoltzVARheumatology Physician$1.5M$19.8K
    Angela VanlandinghamVAHematology & Oncology Physician$1.2M$0
    Seaborn WadeVAHematology & Oncology Physician$978.3K$0
    Dean CavenVACardiovascular Disease Physician$762K$0
    Drew JonesVAPulmonary Disease Physician$757.3K$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. Virginia Distribution
    James Baldwin — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia