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    OpenPayerNPI Medicare & MedicaidMatthew Burton
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    Matthew Burton — Billing Profile & Reimbursement Data

    NPI 1144756180 · Huntington, WV · Neurology Physician

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    Matthew Burton is a neurology physician provider located in Huntington, West Virginia. This profile covers 8 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
    OrganizationMatthew Burton
    Address1600 Medical Center Dr Ste B500
    CityHuntington
    StateWV
    ZIP25701
    TaxonomyNeurology Physician
    NPI EnumeratedMay 11, 2017

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

    Payer SourceTotal Paid
    Medicare$31.2K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new 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 provider…60$130$8.3K
    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…70$110$7.4K
    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…120$60$7.4K
    99204The 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…40$90$3.9K
    99213The 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…40$40$1.6K
    64642The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.20$70$1.2K
    95984The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…30$30$900
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…20$30$590

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1542,740100$70$11.8K
    992131,9402,86080$50$7.5K
    9921512047030$110$6.8K
    95984410170$30$5.9K
    992051321020$140$4.2K
    992043831,22030$100$4.1K
    6464221040$60$2.1K
    9598351050$40$1.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Pediatric Associates, Inc.INPediatrics Physician$0$98.3M
    University Physicians & Surgeons, IncWVInternal Medicine Physician$0$58.3M
    University Physicians & Surgeons, Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M
    William MyerWVOral and Maxillofacial Surgery (Dentist)$0$774.1K
    Vishal VermaWVOphthalmology Physician$419.8K$0
    Robin AroraWVNephrology Physician$392.5K$0
    Jonathan CudaTNAnatomic Pathology Physician$326.7K$0
    Rabah BoukhemisWVPhysical Medicine & Rehabilitation Physician$210.6K$0
    Matthew BullockWVAdult Reconstructive Orthopaedic Surgery Physician$207.9K$0
    Cynthia PinsonWVFamily Medicine Physician$206.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Matthew Burton — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia