JAMES BAKER, M.D.
Rheumatology Physician · JOHNSON CITY, TN
Individual Active NPI 1477530301
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 224 | 8,078 | $441,325 | $234,738 | $182,240 |
| 2023 | 244 | 8,277 | $397,897 | $217,378 | $166,719 |
| 2022 | 245 | 6,960 | $491,050 | $268,093 | $205,689 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 359 | $113 | $76 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 302 | $7 | $7 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 179 | $5 | $5 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 178 | $3 | $3 |
| 84460 | Liver enzyme (sgpt), level | 138 | $5 | $5 |
| 84450 | Liver enzyme (sgot), level | 137 | $5 | $5 |
| 80053 | Blood test, comprehensive group of blood chemicals | 135 | $10 | $10 |
| 82565 | Blood creatinine level | 133 | $5 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 117 | $82 | $58 |
| 86160 | Measurement of complement (immune system proteins), antigen, | 58 | $11 | $11 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 40 | $8 | $8 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 31 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 44420 | TN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.