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    OpenPayerNPI Medicare & MedicaidBaron Hood
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    Baron Hood — Billing Profile & Reimbursement Data

    NPI 1851750582 · Atlanta, GA · Family Nurse Practitioner

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    Baron Hood is a family nurse practitioner provider located in Atlanta, Georgia. This profile covers 4 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBaron Hood
    Address2140 Peachtree Rd Nw
    CityAtlanta
    StateGA
    ZIP30309
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 23, 2016

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

    Payer SourceTotal Paid
    Medicaid$97.2K
    Medicare$2.1K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.20$80$1.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30$10$260
    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.20$10$220
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…30$1$70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8753681040$80$29.6K
    80053688770190$10$9.7K
    850258201,030140$10$5.2K
    810031,3272,32040$1$250

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    86360The lab analyst performs a test to measure the number of CD4 and CD8 cells, typically in a blood specimen, including a calculation of the ratio between the two. The provider may order a CD4, CD8 and…830$40$31.5K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.800$40$27.9K
    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…840$20$20.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…950$10$5.7K
    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…430$10$5.2K
    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.860$10$4.3K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.40$30$1.2K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…420$1$420
    83625The lab analyst measures the lactate dehydrogenase fractions, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in…30$10$330
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.50$10$310

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…446920370$60$360.6K
    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…319820390$70$245K
    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.43100460$10$159.9K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.210410$40$119K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.810280$30$110.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…71140940$1$82.1K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1920160$10$68.8K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…125140130$40$59.9K
    86360The lab analyst performs a test to measure the number of CD4 and CD8 cells, typically in a blood specimen, including a calculation of the ratio between the two. The provider may order a CD4, CD8 and…4101,210$40$59K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…7280360$10$56.1K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medcura Health, Inc.GAFederally Qualified Health Center (FQHC)$0$1.4M
    Michael BrownGAInfectious Disease Physician$13.9K$0
    Mark HebertGANurse Practitioner$6.6K$0
    Quintin RobinsonGAInfectious Disease Physician$4.4K$0
    Terry HackworthGAAdult Health Nurse Practitioner$2.8K$0
    Dennis MeltonGAInternal Medicine Physician$2.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Obstetrix Medical Group Of Atlanta, LLCGAMaternal & Fetal Medicine Physician$0$10M
    Dentistry For Children Of Georgia LLCGAPediatric Dentistry$0$7.9M
    Shanice FigueroaGANurse Practitioner$2.8M$0
    Kristin BourgGAPhysician Assistant$1.8M$0
    Janice McalisterGANurse Practitioner$1.6M$0
    Michelle JuneauGADermatology Physician$951K$0
    William WilsonGARheumatology Physician$865.7K$0
    David D'heurleGAOphthalmology Physician$672.5K$0
    Georgia West Imaging, PCGADiagnostic Radiology Physician$0$616.2K
    Peachtree Orthopaedic Surgery Center At Piedmont LLCGAOrthopaedic Surgery Physician$605.7K$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. Georgia Distribution
    Baron Hood — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Baron Hood — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia