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

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

Shawn Baca (NPI 1649373523)

Field	Value
Entity Type	Individual
Organization	Shawn Baca
Address	5162 Linton Blvd
City	Delray Beach
State	FL
ZIP	33484
Taxonomy	Rheumatology Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	26,700	$20	$480.6K
J3111	Injection, romosozumab-aqqg, 1 mg	36,960	$10	$295.7K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	7,700	$30	$261.8K
J3262	Injection, tocilizumab, 1 mg	40,400	$10	$202K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	48,800	$1	$195.2K
99214	The 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…	1,840	$100	$183.8K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	1,160	$60	$68.6K
99213	The 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…	920	$70	$61.9K
J1602	Injection, golimumab, 1 mg, for intravenous use	4,100	$10	$41K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	930	$30	$26.9K

Showing 1–10 of 65

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Shawn Baca — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

65 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	75	130	9,350	$30	$386.8K
J0717	66	120	52,000	$1	$302.7K
J3262	30	70	38,360	$1	$241.9K
J1602	84	90	13,930	$10	$184.6K
J3111	16	140	16,170	$10	$166.4K
J0897	21	1,060	3,290	$20	$106.5K
86235	19	40	220	$20	$57.9K
96413	359	730	200	$100	$26.1K
99214	419	32,760	140	$90	$25K
82306	41	920	70	$30	$21.5K

Showing 1–10 of 65

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Forstot	FL	Rheumatology Physician	$2M	$0
David Dillon	FL	Rheumatology Physician	$1.3M	$0
David Alboukrek	FL	Rheumatology Physician	$1.2M	$0
Korey Ullrich	FL	Rheumatology Physician	$876.5K	$0
Alexis Katz	FL	Rheumatology Physician	$778.1K	$0
Ira Pardo	FL	Rheumatology Physician	$201K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inphynet Contracting Services LLC	FL	Emergency Medicine Physician	$0	$15.7M
Marc Hirsh	FL	Rheumatology Physician	$4.6M	$0
James Snider	FL	Radiation Oncology Physician	$2.7M	$0
Robert Raden	FL	Ophthalmology Physician	$2.4M	$0
Francisco Nascimento	FL	Interventional Cardiology Physician	$2.4M	$0
Eliahou Cohen	FL	Dermatology Physician	$2.3M	$0
Brian Feinstein	FL	Dermatology Physician	$2.2M	$0
Rachel Kapelow	FL	Rheumatology Physician	$2.1M	$0
Robert Aportela	FL	Anatomic Pathology & Clinical Pathology Physician	$2.1M	$0
Timothy Williams	FL	Radiation Oncology Physician	$2M	$0

Shawn Baca — Billing Profile & Reimbursement Data

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Shawn Baca — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References