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    OpenPayerNPI Medicare & MedicaidBruce Burns
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    Bruce Burns — Billing Profile & Reimbursement Data

    NPI 1033272810 · Apo, AE · Psychiatry Physician

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    Bruce Burns is a psychiatry physician provider located in Apo, Armed Forces Europe. This profile covers 1 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBruce Burns
    AddressMeddac-bavaria Psc 411
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09112
    TaxonomyPsychiatry Physician
    NPI EnumeratedDecember 19, 2006

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

    Payer SourceTotal Paid
    Medicare$1.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is extremely concentrated: Total Medicare revenue is $1.7K and the listed top code 99214 (32 claims, $54 avg paid/claim, $1.7K revenue) accounts for 100.0% of that Medicare revenue. The precomputed top-3 share of 100.0% indicates essentially all reported Medicare activity is captured by office/outpatient E/M visits rather than a mix of procedures or other services.

    Code mix and taxonomy align with a psychiatry-focused office practice: 99214 describes an established patient office visit with moderate medical decision-making or 30+ minutes of total time, which suggests this provider’s Medicare encounters are primarily outpatient evaluation-and-management visits rather than psychotherapy-only codes, procedural codes, or facility-based services. The absence of other CPT/HCPCS entries in the top-25 list reinforces a narrow service-line footprint in Medicare.

    Payer mix is effectively single-payer in the available data: Medicare shows $1.7K in lifetime revenue while Medicaid shows none (no Medicaid billing on file), so there is no recorded Medicaid relationship to compare. Analysts should treat this entity as Medicare-active only for the purposes of claims-based competitive analysis, but note the absolute Medicare volume is very small.

    Competitive standing on Medicare is modest: the provider’s 99214 activity ranks #388201 of 479517 providers nationally (18th percentile; typical, unremarkable volume for this code), which reads as below-average national volume for this common E/M code. That percentile and rank signal the provider is not a dominant or high-volume national participant for 99214 encounters.

    Operational and risk implications of such concentration: relying entirely on a single E/M code for reported Medicare revenue exposes the profile to volatility from coding guideline changes, audit focus on E/M services, or payer edits. With only 32 claims reported for 99214 and an average paid/claim of $54, there is limited scale to absorb payment or utilization shifts.

    Tenure and activity disconnect: the NPI was enumerated on 2006-12-19 (approximately 20 years ago), indicating long-standing enrollment, yet lifetime Medicare billing is $1.7K. This gap suggests the provider may have minimal Medicare-facing practice activity despite long-tenured enrollment, which is relevant when assessing market presence or potential capacity.

    Geographic and administrative notes for downstream research: the provider is listed in city APO, state AE, which should prompt analysts to confirm address type and potential nonstandard payer relationships (for example, military or overseas practice contexts) when interpreting the lack of Medicaid billing and the very low Medicare revenue. Follow-up on enrollment location and payer contracts is recommended before drawing operational conclusions.

    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.

    1 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…30$50$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214162070$90$15.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarah NilesAE (Armed Forces Europe)Public Health & General Preventive Medicine Physician$7.6K$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. Armed Forces Europe Distribution
    Bruce Burns — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe