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    OpenPayerNPI Medicare & MedicaidKeith Burwell
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    Keith Burwell — Billing Profile & Reimbursement Data

    NPI 1215298716 · North Chesterfield, VA · Rheumatology Physician

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    Keith Burwell is a rheumatology physician provider located in North Chesterfield, Virginia. This profile covers 25 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKeith Burwell
    Address1401 Johnston Willis Dr Ste 1200
    CityNorth Chesterfield
    StateVA
    ZIP23235
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 1, 2012

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$24.9K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)14,130$30$480.3K
    J3262Injection, tocilizumab, 1 mg81,400$10$407K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)76,800$1$307.2K
    J1745Injection, infliximab, excludes biosimilar, 10 mg11,710$30$304.5K
    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…1,400$90$122.9K
    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…660$100$63.6K
    J0897Injection, denosumab, 1 mg3,480$20$62.6K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.460$50$24.7K
    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…110$120$12.1K
    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…150$60$9.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129103010,450$30$407.3K
    J326282075,870$1$383.3K
    J0717163074,500$1$361.7K
    J17458304,540$30$200.2K
    J08971373402,820$20$89.3K
    9641310230250$100$28.5K
    9921413712,890140$80$21K
    9640116180110$60$11.5K
    2061111723060$70$10.5K
    992134,31812,44090$60$10K

    Showing 1–10 of 25

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    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…340$70$24.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,8063,520370$70$280.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter CoutlakisVARheumatology Physician$1.9M$0
    Lucia MoreyVARheumatology Physician$1.5M$0
    Lindsay HoltzVARheumatology Physician$1.5M$19.8K
    James BrodeurVARheumatology Physician$669.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lighthouse Behavioral Health Center, LLCVACommunity/Behavioral Health Agency$0$16.5M
    Radiology Associates Of Richmond IncVADiagnostic Radiology Physician$0$14.2M
    Hobby Home Care, LLCVAHome Health Agency$0$12M
    The Pediatric Connection, IncVANursing Care Agency$0$11.7M
    Caremed, IncVAHome Health Agency$0$10.7M
    Care Advantage, IncVAHome Health Agency$0$10.7M
    Family Guidance Of VirginiaVACommunity/Behavioral Health Agency$0$9.6M
    Daily Grace, LLCVACommunity/Behavioral Health Agency$0$9.1M
    Trinity Care LLCVACommunity/Behavioral Health Agency$0$7.8M
    Stony Point Surgery Center, L.L.CVAAmbulatory Surgical Clinic/Center$4.9M$1.4M

    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. Virginia Distribution
    Keith Burwell — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Keith Burwell — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia