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    OpenPayerNPI Medicare & MedicaidMark Burdt
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    Mark Burdt — Billing Profile & Reimbursement Data

    NPI 1245349182 · Urbandale, IA · Rheumatology Physician

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    Mark Burdt is a rheumatology physician provider located in Urbandale, Iowa. This profile covers 58 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
    OrganizationMark Burdt
    Address8421 Plum Dr
    CityUrbandale
    StateIA
    ZIP50322
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: lifetime Medicare revenue is $1.1M while there is no Medicaid billing on file. That concentration means the practice’s financial exposure and growth opportunities are tied to Medicare-covered services and beneficiary volume rather than to a mixed Medicaid/Medicare payer mix.

    Revenue is highly concentrated in a small set of biologic drug administrations: the precomputed top 3 Medicare codes account for 66.8% of the provider’s total Medicare revenue, with J0129 alone contributing $421.6K (38.1%). This level of concentration indicates the practice depends disproportionately on a few high‑revenue injectable biologics for its Medicare income.

    The code mix points to a rheumatology practice that operates an in‑office biologics/infusion service line: the highest‑revenue codes are J0129, J0897, and J1745 (abatacept, denosumab, infliximab), and the record also includes other injectable biologics such as J0717 and J3111. Combined with frequent administration codes and related drug codes, this pattern is consistent with a practice that both prescribes and directly administers parenteral biologic therapies rather than handing injections off to outside infusion centers.

    The provider appears to maintain infusion and chemotherapy administration capacity: Medicare administration and infusion codes 96413 (84th percentile), 96401 (83th percentile), 96415 (82th percentile), and 96365 are present in the top services, which supports the observation that this site regularly delivers multi‑drug infusions or extended infusions in the office setting. Those percentiles place the practice above many peers for infusion activity while still within the dataset’s characterization of "typical, unremarkable volume."

    Competitive standing for the top drug codes is mixed: J0897 ranks relatively high at #949 of 10057 providers (90th percentile) suggesting stronger than average denosumab administration versus national peers, while J0129 (#348 of 1221, 71th percentile) and J1745 (#426 of 1352, 68th percentile) sit in middle terciles and are labeled "typical, unremarkable volume." Overall, the practice is not a nationwide dominant player for these biologics but does show pockets of comparative strength on specific drugs.

    Ambulatory evaluation‑and‑management volume is comparatively strong: 99214 and 99213 both rank in the 95th percentile (99214 at #24132 of 479517 and 99213 at #20823 of 457151) and are labeled "notably above typical national volume," indicating higher office visit throughput per Medicare peers and a steady outpatient panel that complements the infusion/business lines.

    The practice offers onsite diagnostic and monitoring support, with high relative volumes for routine labs and imaging used in rheumatology/osteoporosis care: venous puncture 36415 (93th percentile), CBC 85027 (93th percentile), creatinine 82565 (94th percentile), and DXA 77080 (86th percentile) all appear in the top codes. This clustering of lab and DXA services supports a care model that monitors therapy safety and bone health in the practice rather than outsourcing those services.

    The provider has long tenure in the Medicare program, with the NPI enumerated on 2006-08-30 (~20 years ago), which indicates an established practice history. Coupled with lifetime Medicare revenue of $1.1M and the service mix described above, the data portray a stable, Medicare‑focused rheumatology operation with specialized in‑office administration of biologics and associated diagnostic services.

    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.

    58 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)12,400$30$421.6K
    J0897Injection, denosumab, 1 mg11,160$20$200.9K
    J1745Injection, infliximab, excludes biosimilar, 10 mg4,460$30$116K
    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)23,200$1$92.8K
    J3111Injection, romosozumab-aqqg, 1 mg8,820$10$70.6K
    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…730$80$59.7K
    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…390$100$36.7K
    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…580$60$34.7K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.270$50$14.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…210$50$9.7K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01292205,950$30$218.3K
    J3111142012,180$10$112K
    J071792023,500$1$93.9K
    J17456203,460$30$92.3K
    J0897151901,920$20$74.1K
    964131880210$90$24K
    992142224,690100$70$14.4K
    9949086330130$40$9K
    992131554,740100$50$8K
    9640174090$50$7.4K

    Showing 1–10 of 58

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Clarke County Public HospitalIACritical Access Hospital$0$5.1M
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    Clarke County Public HospitalIARural Health Clinic/Center$0$4.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$177.4M
    The Respite Connection, Inc.IACommunity/Behavioral Health Agency$0$38.1M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$16.5M
    Unitypoint At HomeIAHome Infusion Therapy Pharmacy$0$15.4M
    New Beginnings Counseling Service, LLCIACommunity/Behavioral Health Agency$0$6.3M
    A-1 Iowa Dental PLLCIADentist$0$5.4M
    Urbandale Community School DistrictIALocal Education Agency (LEA)$0$4.4M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$3.9M
    Acs Medical LLCIADurable Medical Equipment & Medical Supplies$0$3.6M
    Wellserve Health, Inc.IACommunity/Behavioral Health Agency$0$2.8M

    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. Iowa Distribution
    Mark Burdt — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa