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

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Mark Burnes (NPI 1073660338)

Field	Value
Entity Type	Individual
Organization	Mark Burnes
Address	14940 West Indian School Road
City	Goodyear
State	AZ
ZIP	85395
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicare	$37.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	340	$60	$21.1K
99441	N/A	210	$40	$7.7K
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…	50	$90	$4.2K
99204	The provider sees a new 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 provider…	20	$100	$2K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$70	$1.6K
G0008	Administration of influenza virus vaccine	20	$30	$660

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Mark Burnes — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,573	10,410	120	$80	$20.6K
99213	1,197	9,600	80	$60	$9.6K
99204	4,375	5,790	40	$110	$6.7K
90662	1,100	1,550	40	$70	$4.8K
G0008	1,549	2,140	40	$30	$2.6K
99441	5	240	20	$30	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Development Of West Phoenix Inc	AZ	General Acute Care Hospital	$0	$54.3M
Arizona Orthopedic Physical Therapy, PLLC	AZ	Physical Therapy Clinic/Center	$0	$29.8M
Vhs Outpatient Clinics, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$15.2M
Phoenix Neurology And Sleep Medicine PLLC	AZ	Neurology Physician	$0	$7.4M
Cns Memory Clinic LLC	AZ	Clinical Neuropsychologist	$0	$6.6M
Pathways Assisted Living & Memory Care, LLC	AZ	Assisted Living Facility	$0	$6.4M
Anjaly Curley	AZ	Diagnostic Radiology Physician	$1.7M	$0
Robert Osipov	AZ	Surgery Physician	$651.3K	$1.5K
Kevin Svancara	AZ	MOHS-Micrographic Surgery Physician	$592.5K	$0
Jonathan Wiggenhorn	AZ	Facial Plastic Surgery Physician	$567.5K	$0

Mark Burnes — Billing Profile & Reimbursement Data

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Mark Burnes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References