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Pecos Enrollment And Medicare Participation Status
What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Registered in PECOS? | |
Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency | Yes |
Eligible order / refer Power Mobility Devices | Yes |
Skilled Nursing Facilities Near Winter Haven Hospital
Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near WINTER HAVEN HOSPITAL ranked by their CMS 5-Star Overall Rating.
Facility Name |
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Robin A Baker Md Npi #1881699718internal Medicine
NPI Profile for Dr ROBIN A BAKER in WINTER HAVEN, FL.
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number , not an Employer Identification Number even if he/she has an EIN.
Overall Hospital Quality Star Rating For Winter Haven Hospital
Overall Rating:
The Overall Hospital Quality Star Rating for WINTER HAVEN HOSPITAL summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospitals Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services through the Hospital Inpatient Quality Reporting Program, Hospital Outpatient Quality Reporting Program, Hospital Readmission Reduction Program , Hospital-Acquired Condition Reduction Program, and Hospital Value-Based Purchasing Program. Overall Star Ratings arent calculated for Veterans Health Administration or Department of Defense hospitals.
Most hospitals will have an Overall Hospital Quality Star Rating of 3.
The methodology used to calculate Overall Star Ratings involves multiple steps to select, standardize, and calculate scores based on Care Compare measures. Overall Star Ratings are created using this seven-step process:
Measure group | |
---|---|
Timely & Effective Care | 12% |
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About Robin Allen Baker Md
Dr. Robin Allen Baker, MD is a health care provider primarily located in Winter Haven, FL, with another office in Bartow, FL. He has 44 years of experience. His specialties include Internal Medicine. Dr. Baker is affiliated with Winter Haven Hospital. He speaks English.
Robin Baker has received the following award:
Reviews Forrobin A Baker
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Doctors & Physicians
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Medical Malpractice Closed Claims Report
Other location where injury occured |
Patient’s Home |
Other Location of Institutional Injury |
Final Diagnosis For Which Treatment Was Sought Including Patient’s Actual Condition |
HTN, DM, chronic back pain and CAD. |
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury |
Medical management of suspected coronary artery disease with abnormal stress test.Cardiac catheterization had been discussed. |
Diagnostic Code : |
Misdiagnosis Made, If Any, Of Patient’s Actual Condition |
None. |
Principal Injury Giving Rise To The Claim |
Patient died from anterior myocardial infarction, autopsy showed 3 vessels needed bypass or stenting. |
Severity Of Injury |
How Do I Update My Npi Information
The NPI record of Dr. Robin Baker M.D. was last updated on June 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System at 1-800-465-3203 or by email at NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at:
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Dr Baker’s Medicare Feeforservice Data
Please Note: The information displayed below is sourced from the 2014 Medicare Physician and Other Supplier National Provider Identifier Aggregate Report. It’simportant to remember that the statistics below are not inclusive of all patients treated byDr. Baker, but only those who participate in Medicare.
Overview
- Doctor participates in Medicare?: Yes
- Number of HCPCS Codes: 182
- Number of Services: 24544
- Number of HCPCS Associated With Medical Services: 155
- Number of Medical Services: 18779
- Number of Medicare Patients with Medical Services: 1799
Medicare Patient Demographics
- Total Number of Medicare Patients: 1799
- Average Age of Medicare Patients: 76
- Number of Patients Under Age 65: 165
- Number of Patients Age 65 to 74: 618
- Number of Patients Age 75 to 84: 634
- Number of Patients Over Age 84: 382
- Number of Female Patients : 1028
- Number of Male Patients: 771
- Number of Non-Hispanic White Patients: 1630
- Number of Black or African American Patients: 106
- Number of Asian Pacific Islander Patients: 0
- Number of Hispanic Patients: 37
- Number of American Indian/Alaska Native Patients: 0
- Number of Patients with Race Not Elsewhere Classified: 0
- Number of Patients with Medicare Only Entitlement: 1542
- Number of Patients with Medicare & Medicaid Entitlement: 257
Medicare Patient Condition Demographics
Medicare Payments Data
Medicare Prescription Drug Data
Cost Of Winter Haven Hospital Compare To National And State Averages
Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the WINTER HAVEN HOSPITAL provides.
To provide some standard metric to compare hospital costs, CMS publishes the MSPB . Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.
MSPB for WINTER HAVEN HOSPITAL: 101.50%
On average at WINTER HAVEN HOSPITAL, emergency patients were changed $23,921. This is higher than the state average of $22,181. It is also higher than the state average of $22,537.
Detailed table for spending and period for patients at WINTER HAVEN HOSPITAL:
Type | |
---|---|
Home Health Agency | $8 |
Hospice | $0 |
Inpatient | $0 |
Outpatient | $30 |
Skilled Nursing Facility | $10 |
Durable Medical Equipment | $3 |
Carrier | $667 |
Home Health Agency | $0 |
Hospice | $0 |
Inpatient | $11,538 |
Outpatient | $0 |
Skilled Nursing Facility | $0 |
Durable Medical Equipment | $38 |
Carrier | $1,614 |
Home Health Agency | $514 |
Hospice | $353 |
Inpatient | $2,110 |
Outpatient | $874 |
Skilled Nursing Facility | $4,468 |
Durable Medical Equipment | $131 |
Carrier | $1,564 |
$23,921 |
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About Winter Haven Hospital
Rating:
WINTER HAVEN HOSPITAL is one of a type of hospital called Acute Care Hospitals located in WINTER HAVEN, FL. It does provide emergency services. Its five star rating is 3. It’s type of ownership is Voluntary non-profit – Private. The facility’s Medicare ID is 100052.
There are 245 medical professionals affiliated with WINTER HAVEN HOSPITAL.
According to a survey by the Hospital Consumer Assessment of Healthcare Providers and Systems that ended in September 30, 2021, 63% of the patients surveyed definitely recommended WINTER HAVEN HOSPITAL, while only 8% did not recommend going to WINTER HAVEN HOSPITAL.
The information presented below is based on data provide by U.S. Centers for Medicare & Medicaid Services . It is updated as new data is made available.
How Winter Haven Hospital Compares To Other Similar Facilities
This is how WINTER HAVEN HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.
Percentages of Complications and Deaths at WINTER HAVEN HOSPITAL
Measure | ||
---|---|---|
Rate of complications for hip/knee replacement patients | 1.9% | |
Death rate for heart attack patients | 13.7% | |
Death rate for CABG surgery patients | 2.6% | |
Death rate for COPD patients | 10.9% | |
Death rate for heart failure patients | 13.3% | |
Death rate for pneumonia patients | NA | |
Death rate for stroke patients | 13.7% | |
Death rate among surgical inpatients with serious treatable complications | NA | |
In-hospital fall with hip fracture rate | NA | |
Perioperative hemorrhage or hematoma rate | NA | |
Postoperative acute kidney injury requiring dialysis rate | NA | |
Perioperative pulmonary embolism or deep vein thrombosis rate | NA | |
Abdominopelvic accidental puncture or laceration rate | NA | |
CMS Medicare PSI 90: Patient safety and adverse events composite | NA | Not Enough Data |
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How Much Is A Visit To Dr Robin Baker Md
Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
Faqs About Dr Robin Baker
Is Dr. Robin Baker accepting new patients?
Dr. Robin Baker generally accepts new patients.
Does Dr. Robin Baker provides tele-medicine services?
Dr. Robin Baker has not indicated on the profile that their office offers tele-health visits. You can to find out more about telehealth visits.
Does Dr. Robin Baker offer same day appointments?
Dr. Robin Baker has not indicated on the profile that their office offers same day appointments. You can to find out more about same day appointments.
How can I make appointment with Dr. Robin Baker?
You can request appointment via HealthSoul or contact their office.
What are the specialties of Dr. Robin Baker?
The top specialties of Dr. Robin Baker include Internal Medicine
What modes of payment are accepted by office of Dr. Robin Baker?
You can make payment via cash, credit card or debit card.
What is office location of Dr. Robin Baker?
The office is located at 400 Ave K Se in Winter Haven, FL.
Does Dr. Robin Baker accepts my insurance?
Dr. Robin Baker accepts various types of health insurance, but individual coverage may be variable. You should check with your health insurance whether the particular doctor is in network or not.
What are the common conditions treated by internal-medicine-specialist?
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Is Dr Robin Baker Md Registered In Pecos
Yes, as of December 15, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment , a Home Health Agency and Power Mobility Devices.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 33880 ZIP code area.
New Patients Office Visits Costs * |
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Most Utilized Procedure Code for new patients office visits: 99204 |
Minimum New Patient Pricing |
Established Patients Office Visits Costs * | |
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Most Utilized Procedure Code for established patients office visits: 99214 | |
Minimum Established Patient Pricing | |
$36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare’s statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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About Dr Robin A Baker Md
Robin Baker is an internist established in Winter Haven, Florida and his medical specialization is Internal Medicine with more than 44 years of experience. He graduated from Vanderbilt University School Of Medicine in 1979. The NPI number of Robin Baker is 1881699718 and was assigned on June 2005. The practitioner’s primary taxonomy code is 207R00000X with license number ME38099 . The provider is registered as an individual and his NPI record was last updated one year ago.
NPI | |
DR. ROBIN A. BAKER M.D. | |
Location Address | 400 AVENUE K SE STE 11 WINTER HAVEN, FL 33880 |
Location Phone | |
400 AVENUE K SE WINTER HAVEN, FL 33880 | |
Gender | |
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE | |
Graduation Year | |
03-03-2022 |