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    OpenPayerNPI Medicare & MedicaidJustin Baker
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    Justin Baker — Billing Profile & Reimbursement Data

    NPI 1639119589 · Jackson, MS · Hematology & Oncology Physician

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    Justin Baker is a hematology & oncology physician provider located in Jackson, Mississippi. This profile covers 66 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
    OrganizationJustin Baker
    Address1227 N State St Ste 101
    CityJackson
    StateMS
    ZIP39202
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    This provider is highly focused on oncology infusion services: the largest revenue codes are oncology biologic infusions (J9271, J9299, J0897) and chemotherapy administration codes (96413, 96401, 96365), indicating the practice primarily delivers systemic cancer therapies and supportive oncology injections rather than being a general primary-care office. The prominence of J9271 (pembrolizumab) and J9299 (nivolumab) combined with multiple chemotherapy administration codes supports a service-line oriented around immune checkpoint inhibitors and IV chemotherapy delivery.

    Medicare revenue is the sole recorded public-payer footprint for this provider: total Medicare revenue is $4.1M while there is no Medicaid billing on file, so the entity operates effectively as a single-payer (Medicare) biller in the datasets provided. That concentration suggests Medicare dominates public reimbursement exposure and network/contracting considerations for this provider.

    Revenue concentration is highly focused: the precomputed top three Medicare codes by revenue account for 81.6% of the provider’s total Medicare revenue, with J9271 alone representing $2.2M (54.6% of Medicare revenue). This concentration implies the practice’s financial performance is heavily dependent on a small set of high-cost oncology injections rather than broad ancillary or E/M services.

    The provider is a national outlier on certain high-cost immunotherapy codes: J9271 ranks #11 of 1841 providers nationally and is labeled an "extreme outlier," placing this clinician among the very highest-volume billers of pembrolizumab in the country. J9299 ranks in the 91st percentile nationally and is a high-volume contributor as well, indicating the provider has above-typical scale for immune checkpoint inhibitor administration compared with peers.

    There are additional above-typical volumes on other injectable agents: J0897 (denosumab) is listed as "notably above typical" and ranks #437 of 10057 providers, and J2506 (pegfilgrastim) ranks in the 97th percentile. These placements indicate the practice also provides supportive cancer care and bone-modifying therapy at volumes well above most clinicians, reinforcing an oncology infusion center profile with broad supportive-service utilization.

    Although infusion/injectable drug codes dominate revenue, the provider also bills non-drug oncology services and diagnostics at above-typical levels: E/M code 99214 generates $130K (3.2% of Medicare revenue) and comprehensive labs such as 80053 and 85025 appear in the top codes with high national percentile ranks. This mix suggests on-site evaluation and diagnostic monitoring are integrated into the clinician’s outpatient oncology workflow rather than being outsourced.

    Clinical tenure is long-standing: the NPI was enumerated on 2006-06-08 (approximately 20 years ago), indicating the provider has an established presence and likely sustained referral relationships and operational infrastructure to support high-volume infusion care. That longevity helps explain the scale seen in high-volume oncology drug billing.

    Given the relative rankings, the provider is a dominant national participant for select drugs but otherwise a strong regional/high-volume oncology clinician: codes like J9311 (rituximab with hyaluronidase) rank #3 of 5 providers (a small-number specialty ranking) and several lab and E/M codes fall into high percentiles (often 90th+). Taken together, this pattern signals dominance on a narrow set of high-value oncology injectables with broadly above-typical utilization of related supportive and monitoring services.

    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.

    66 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg56,000$40$2.2M
    J9299Injection, nivolumab, 1 mg35,200$20$844.8K
    J0897Injection, denosumab, 1 mg16,440$20$263K
    J9311Injection, rituximab 10 mg and hyaluronidase7,080$30$205.3K
    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…1,530$90$130K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg1,150$80$91K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…790$80$65.6K
    J1439Injection, ferric carboxymaltose, 1 mg52,500$1$52.5K
    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…520$60$29.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2,280$10$22.8K

    Showing 1–10 of 66

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 66 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    66 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927111016,700$40$1M
    J929931021,120$20$569.7K
    J93112107,080$30$195.5K
    J089751103,030$20$95.7K
    J2506410910$80$91.5K
    J143972042,000$1$41.6K
    J3315210120$300$35.5K
    J018551018,330$1$26.4K
    96413570100$80$22.6K
    99214684,110170$70$21.9K

    Showing 1–10 of 66

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guangzhi QuMSHematology & Oncology Physician$9.1M$0
    Tammy YoungMSMedical Oncology Physician$5.1M$0
    Nicole ClevelandMSMedical Oncology Physician$2.8M$0
    Thomas WilliamsonNCHematology & Oncology Physician$2.4M$0
    Manubhai PatelMSMedical Oncology Physician$1.9M$0
    Elizabeth HerringtonMSMedical Oncology Physician$1.9M$0
    Natale SheehanMSMedical Oncology Physician$1.4M$0
    Bobby GrahamMSHospice and Palliative Medicine (Internal Medicine) Physician$143.8K$0
    Donald TisdaleMSFamily Nurse Practitioner$113.4K$0
    Meaghan JohnsonMSFamily Nurse Practitioner$98.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mississippi Behavioral Health Services, LLCMSCommunity/Behavioral Health Agency$0$72.8M
    Mississippi Baptist Medical Center, Inc.MSGeneral Acute Care Hospital$0$42M
    Mississippi Children's Home Society - MypacMSMental Illness Community Based Residential Treatment Facility$0$26.5M
    Medical Foundation Of Central Mississippi, Inc.MSInternal Medicine Physician$0$7.5M
    James BrownMSRetina Specialist (Ophthalmology) Physician$5.4M$8.9K
    Michael BorneMSRetina Specialist (Ophthalmology) Physician$4.5M$1.8K
    Mississippi Physicians, LLPMSEmergency Medicine Physician$0$4.2M
    Mae Physicians Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$3.4M$114.8K
    Chelsea CockrellMSFamily Nurse Practitioner$3M$0
    Mississippi Urology Outpatient Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$1.8M$9.8K

    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. Mississippi Distribution
    Justin Baker — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi