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    OpenPayerNPI Medicare & MedicaidRobert Baginski
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    Robert Baginski — Billing Profile & Reimbursement Data

    NPI 1699986828 · Fall River, MA · Emergency Medicine Physician

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    Robert Baginski is a emergency medicine physician provider located in Fall River, Massachusetts. This profile covers 11 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
    OrganizationRobert Baginski
    Address795 Middle St
    CityFall River
    StateMA
    ZIP02721
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedMay 28, 2007

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

    Payer SourceTotal Paid
    Medicare$26.6K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$90$12.9K
    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…70$70$5.4K
    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…30$130$3.7K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.100$20$1.6K
    99203The provider sees a new 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 provider…20$80$1.4K
    87807The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.50$10$600
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.10$30$330
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10$20$220
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$20$220
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$20$190

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,40015,410110$80$15.6K
    992136,75713,70070$60$8.8K
    992043,2705,87030$120$5.6K
    992033,2144,29030$80$4.1K
    710461,0051,04090$10$2.3K
    878043135040$20$860
    90715203010$30$500
    87807105020$10$460
    8788032546020$20$410
    9047110012020$10$260

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kent County Memorial HospitalRIGeneral Acute Care Hospital$0$90.8M
    Steward St. Annes Hospital CorporationMAGeneral Acute Care Hospital$0$82.8M
    Falmouth Hospital Association IncMAGeneral Acute Care Hospital$0$25.4M
    Urgi Center Medical GroupMAUrgent Care Clinic/Center$0$5.8M
    Kent County Memorial HospitalRIDurable Medical Equipment & Medical Supplies$0$2.2M
    Victor AvilesMAHematology & Oncology Physician$1.8M$0
    John JardineRIEmergency Medicine Physician$23.9K$1.2M
    Nebyou BelayRIChild & Adolescent Psychiatry Physician$3.2K$997.5K
    Maria GonzalezRIPsychiatry Physician$13.2K$667.5K
    John GelzhiserRIInternal Medicine Physician$89.6K$559.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mass Care Link, Inc.MAFoster Care Agency$0$43.3M
    Prima Care, PCMAClinic/Center$0$32.2M
    Bay Coast Behavioral, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$14.9M
    Bay State Physical Therapy Of Randolph IncMAPhysical Therapist$0$14.7M
    People, IncorporatedMAEarly Intervention Provider Agency$0$14.6M
    Dental Dreams LLCMAGeneral Practice Dentistry$0$6.6M
    Raju SinglaMAInternal Medicine Physician$632.7K$0
    Mary GoncaloMAPsychiatric/Mental Health Registered Nurse$81.6K$538.5K
    Linsey PhilipMAInfectious Disease Physician$450.9K$0
    Aamir AhmadMADiagnostic Radiology Physician$342.4K$33.1K

    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. Massachusetts Distribution
    Robert Baginski — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts