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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

David Baker (NPI 1942596481)

Field	Value
Entity Type	Individual
Organization	David Baker
Address	516 S Wm Hooker Dr
City	Hookerton
State	NC
ZIP	28538
Taxonomy	Family Medicine Physician
NPI Enumerated	June 23, 2011

Payer Source	Total Paid
Medicare	$207.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	980	$70	$72.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$130	$24.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	160	$140	$21.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	$130	$18.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	190	$100	$17.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	150	$70	$10.2K
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…	180	$50	$9.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	120	$50	$5.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$210	$4.5K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	130	$30	$4.4K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

David Baker — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	278	18,060	110	$80	$15.1K
87637	6	70	30	$140	$13.3K
99489	48	80	60	$50	$11.6K
G0439	717	4,160	60	$120	$10.5K
99490	384	750	120	$40	$10.3K
99487	81	110	30	$90	$7.2K
99213	3,481	16,320	70	$50	$7.1K
99223	166	4,580	30	$130	$6.5K
36415	401	3,490	90	$10	$6.4K
99439	190	500	90	$30	$6K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Carolina At Chapel Hill	NC	Anesthesiology Physician	$0	$87.6M
University Of North Carolina Hospitals At Chapel Hill	NC	General Acute Care Hospital	$0	$50.7M
Unc Physicians Network LLC	NC	General Practice Physician	$0	$47M
Caldwell Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$28.8M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
Clinton Medical Clinic, Inc.	NC	General Practice Physician	$0	$17.3M
Unc Rockingham Health Care, Inc.	NC	General Acute Care Hospital	$0	$10.3M
University Of North Carolina Hospitals At Chapel Hill	NC	Durable Medical Equipment & Medical Supplies	$0	$7.8M
Caldwell Memorial Hospital, Inc	NC	Pediatrics Physician	$0	$7.3M
John Deans	NC	Ophthalmology Physician	$2.4M	$0

David Baker — Billing Profile & Reimbursement Data

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David Baker — 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

Frequently Asked Questions

References