Loading...
NPI 1326039587 · Washington, DC · Cardiovascular Disease Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Alfred Burris is a cardiovascular disease physician provider located in Washington, District of Columbia. This profile covers 21 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alfred Burris |
| Address | 650 Pennsylvania Ave Se Ste 480 |
| City | Washington |
| State | DC |
| ZIP | 20003 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | November 4, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $469.2K |
| Medicaid | $356.3K |
This provider bills meaningfully to both Medicare and Medicaid, with Total Medicare revenue of $469.2K and Total Medicaid revenue of $356.3K, so neither payer is negligible and Medicare is the larger single source of billed revenue. The presence of substantial activity on both programs indicates the practice serves a mixed payer panel rather than being effectively single-payer.
Revenue is highly concentrated by code on both payers: the top 3 Medicare codes account for 62.1% of this provider's total Medicare revenue and the top 3 Medicaid codes account for 93.9% of this provider's total Medicaid revenue. For Medicare the three highest-revenue codes are 99214 ($152K, 32.4%), 93306 ($88.5K, 18.9%), and 78452 ($51K, 10.9%); for Medicaid they are 99214 ($202.3K, 56.8%), 93306 ($106.7K, 30.0%), and 93010 ($25.3K, 7.1%).
The code mix indicates a cardiology-focused ambulatory and diagnostic service line with significant imaging and E/M volume: high-revenue codes include 99214 (office E/M), 93306 (2D echocardiography), and 78452 (cardiac SPECT). The presence of routine ECG codes (93010, 93000), stress test supervision/interpretation (93015), and catheterization imaging supervision (93458) shows the practice performs both noninvasive diagnostic testing and interpretation in addition to office-based cardiovascular care.
On Medicare this provider is a high-volume outlier for core services: 99214 is identified as an "extreme outlier, far above typical national volume for this code" (1.5K claims, $152K revenue) and 93306 ranks in the 97th percentile nationally (819 claims, $88.5K revenue) as "notably above typical". Those ranks (99214: #3783 of 479517; 93306: #821 of 24624) position the provider as a prominent national outlier for office E/M and echocardiography services.
In-state Medicaid competitive standing is more modest: 99214 ranks #65 of 305 in-state (79th percentile; typical), 93306 ranks #14 of 34 (61th percentile; typical), and 93010 ranks #9 of 26 (68th percentile; typical). Those in-state ranks suggest the provider is a solid regional participant for ambulatory E/M and cardiac imaging but not clearly dominant across all Medicaid peers in the state.
The practice also bills acute and inpatient services alongside outpatient care—claims for 99232 (322 claims, $22.2K Medicare revenue), 99291 (108 claims, $19.2K Medicare revenue), and 99233 (178 claims, $18.3K Medicare revenue) indicate engagement in hospital-based follow-up and critical care. This mix of outpatient diagnostics and some inpatient/critical care work points to a hybrid model that handles both clinic-based cardiology and episodic higher-acuity encounters.
Several utilization patterns stand out by raw claim counts: the provider reported 1.5K Medicare claims and 3.7K Medicaid claims for 99214, and 2.3K Medicare claims and 3.2K Medicaid claims for 93010. Combined with the labeled statistical designations (e.g., "extreme outlier" for Medicare 99214 and 93010, and "notably above typical" for Medicare 93306), these volumes reflect unusually high throughput on core cardiology E/M and ECG interpretation services relative to peers.
The provider has a long-established billing history, with an NPI enumerated on 2005-11-04 (~21 years ago), supporting the inference that the observed patterns reflect an established practice rather than a short-lived billing pattern. Given the heavy revenue dependence on a small set of cardiology E/M and imaging codes (62.1% of Medicare and 93.9% of Medicaid tied to top three codes), payer negotiations or changes in reimbursement for these services could materially affect overall revenue concentration risk.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,480 | $100 | $152K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 820 | $110 | $88.5K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 120 | $410 | $51K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 320 | $70 | $22.2K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 110 | $180 | $19.2K |
| 99215 | The 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… | 120 | $160 | $18.5K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 180 | $100 | $18.3K |
| 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… | 130 | $130 | $17.2K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 2,300 | $10 | $16.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 790 | $10 | $9.5K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 3 | 80 | 240 | $110 | $32.4K |
| 78452 | 5 | 40 | 60 | $340 | $22.6K |
| 99233 | 210 | 650 | 90 | $100 | $17.6K |
| 99214 | 2 | 1,400 | 90 | $100 | $15.3K |
| 99291 | 95 | 410 | 50 | $180 | $14.8K |
| 93925 | 16 | 30 | 40 | $160 | $12.4K |
| 99215 | 148 | 660 | 50 | $130 | $12.3K |
| 93880 | 23 | 60 | 40 | $130 | $11.1K |
| 99232 | 59 | 640 | 70 | $70 | $10K |
| 99213 | 619 | 1,200 | 50 | $70 | $8.5K |
Showing 1–10 of 21
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 3,680 | $60 | $202.3K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 1,350 | $80 | $106.7K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 3,160 | $10 | $25.3K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 2,060 | $10 | $12.3K |
| 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… | 50 | $100 | $4.7K |
| 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… | 500 | $10 | $4.5K |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 14 | 30 | 450 | $130 | $439.5K |
| 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… | 65 | 310 | 750 | $70 | $321.6K |
| 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… | 170 | 320 | 620 | $50 | $313.6K |
| 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… | 58 | 80 | 100 | $120 | $131.8K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 9 | 30 | 1,150 | $1 | $68.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 10 | 40 | 250 | $10 | $13.4K |
Other providers in the same ZIP code as Alfred Burris, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Universal Home Healthcare Inc. | DC | Home Health Agency | $0 | $69.8M |
| Community Connections Inc | DC | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $69.4M |
| Iya Homes And Community Solutions, LLC | DC | Community/Behavioral Health Agency | $0 | $11.3M |
| Psi Services 111 Inc. | DC | Developmentally Disabled Services Day Training Agency | $0 | $5.4M |
| Husband Therapeutics | DC | Home Health Agency | $0 | $2.7M |
| Juanita Bryant | DC | Retina Specialist (Ophthalmology) Physician | $1.9M | $239.4K |
| Accent On Health, LLC | DC | Internal Medicine Physician | $0 | $1.3M |
| Grubbs Pharmacy Of Dc Inc | DC | Community/Retail Pharmacy | $106.5K | $935.3K |
| Christopher Burris | DC | Ophthalmology Physician | $127.7K | $642.6K |
| Phase Ll Academy | DC | Specialist | $0 | $751.8K |
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.