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    OpenPayerNPI Medicare & MedicaidJamie Burton
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    Jamie Burton — Billing Profile & Reimbursement Data

    NPI 1073737227 · Little Rock, AR · Hematology & Oncology Physician

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    Jamie Burton is a hematology & oncology physician provider located in Little Rock, Arkansas. This profile covers 88 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJamie Burton
    Address8901 Carti Way
    CityLittle Rock
    StateAR
    ZIP72205
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 12, 2007

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This clinician’s Medicare business is concentrated in high-cost oncology infusions: total Medicare revenue is $2.8M and the top three Medicare codes (J9271, J9299, J0897) together account for 73.0% of that revenue. The code mix—dominant use of J9271 (pembrolizumab), J9299 (nivolumab), and J0897 (denosumab)—indicates the practice is primarily delivering immune checkpoint inhibitors and bone-modifying therapy rather than being centered on office-only E/M visits or diagnostic testing. This profile is consistent with a medical oncology infusion practice focused on systemic anti-cancer therapies.

    Revenue concentration is highly skewed toward a single agent: J9271 alone represents $1.3M and 46.3% of this provider’s Medicare revenue, showing that nearly half of Medicare income comes from pembrolizumab administration. The precomputed top-3 share of 73.0% underscores reliance on a very small set of drug administration codes for the bulk of Medicare revenue, which has implications for drug purchasing, inventory management, and payer contracting negotiations.

    Payer mix is effectively single-payer with respect to public programs: Medicare activity is substantial at $2.8M while there is no Medicaid billing on file. This means the provider’s public-payer exposure and risk are concentrated in Medicare, and Medicaid does not contribute to observed revenue or service-volume patterns in the dataset.

    Competitive standing for key immunotherapy codes is strong on a national scale: J9271 ranks #130 of 1841 providers nationally and is described as "notably above typical national volume for this code," signaling above-average infusion volumes of pembrolizumab relative to peers. J9299 ranks #161 of 505 providers (68th percentile) and is described as typical, while J0897 ranks #639 of 10057 providers (94th percentile) and is likewise unremarkable in volume; overall the provider appears to be a meaningful national-volume performer for at least one high-revenue immunotherapy.

    Several non-drug CPTs also show unusually high relative volume and support a high-throughput infusion operation: 96413 (chemotherapy administration) ranks in the 98th percentile and is labeled "notably above typical national volume," 96375 and 96417 are likewise described as notably above-typical volumes, and 99215 and 99213 E/M codes are extreme to notable outliers in national rank. Together these patterns indicate frequent complex outpatient visits and repeated infusion encounters that align with an oncology infusion workflow.

    The absence of Medicaid billing is a distinguishing business signal: "none below — this provider has no Medicaid billing on file," which suggests either a payer mix skewed toward Medicare and commercial payers, credentialing or paneling choices that exclude Medicaid, or simply no billed services to Medicaid beneficiaries during the reporting window. Analysts should treat this provider as effectively single-payer (Medicare) in public-data analyses and be cautious generalizing to Medicaid populations.

    Tenure is long enough to support established referral flows: the NPI was enumerated on 2007-04-12 (~19 years ago), indicating the provider has had nearly two decades of potential Medicare participation and practice presence. That longevity, combined with high-volume immunotherapy billing, suggests an established oncology practice rather than a new or incidental infrequent infuser.

    Procedure-level outliers and their operational implications are notable: high national-percentile ranks described as "notably above typical" or "extreme outlier" for codes such as J9271, 96413, 96375, 96417, 99215, and 99213 imply sustained high utilization of infusion and complex E/M services. For payers and competitors, this signals a high-capacity infusion center with downstream cost and utilization implications for oncology drug spend and infusion suite resource planning.

    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.

    88 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg29,400$40$1.3M
    J9299Injection, nivolumab, 1 mg20,180$20$484.3K
    J0897Injection, denosumab, 1 mg13,680$20$246.2K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg3,940$60$220.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…810$90$69.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…490$120$60.6K
    J1437Injection, ferric derisomaltose, 10 mg3,500$20$59.5K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units9,490$10$57K
    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…480$90$42.2K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,040$40$37.4K

    Showing 1–10 of 88

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 88 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    88 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927164020,700$40$896.3K
    J9299113015,660$20$432.9K
    Q51262103,210$60$174.1K
    J156912102,560$40$120.3K
    J143719206,450$20$107.8K
    J0897141602,580$20$89.7K
    J088511404,070$10$38K
    964131280380$90$36.6K
    992147444,300130$70$18.8K
    88185720780$20$18.5K

    Showing 1–10 of 88

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Arkansas Radiation Therapy Institute IncARHematology & Oncology Physician$0$11M
    Central Arkansas Radiation Therapy Institute IncARRadiation Oncology Physician$6.7M$3.6M
    Kamal PatelARHematology & Oncology Physician$5.7M$0
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Lawrence MendelsohnARHematology & Oncology Physician$3.4M$0
    Kewen JaussARHematology & Oncology Physician$2.8M$0
    Mariann HarringtonARHematology & Oncology Physician$2.7M$0
    Appalanaidu SasapuARHematology & Oncology Physician$2.6M$0
    Derek MiddletonARHematology & Oncology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARGeneral Acute Care Hospital$0$87.2M
    University Of Arkansas For Medical SciencesARInternal Medicine Physician$0$28.6M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Arkansas Department Of Health ImmunizationsARPublic Health or Welfare Agency$0$19.3M
    Baptist HealthARGeneral Acute Care Hospital$0$16.4M
    Arkansas Department Of Health Family Planning ClinicARPublic Health or Welfare Agency$0$15.6M
    Pediatrix Medical Group Of Arkansas PAARNeonatal-Perinatal Medicine Physician$0$14.6M
    Chenal Family Therapy, PlcARMental Health Counselor$0$12.2M
    Francis A. Allen School For Exceptional Children, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.9M
    Arkansas Department Of Health StdARPublic Health or Welfare Agency$0$8.4M

    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. Arkansas Distribution
    Jamie Burton — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas