Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Burton (NPI 1477513547)

Field	Value
Entity Type	Individual
Organization	Michael Burton
Address	2101 N Hillhurst Ave
City	Los Angeles
State	CA
ZIP	90027
Taxonomy	Family Medicine Physician
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicare	$32.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 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…	100	$100	$10.5K
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…	40	$130	$5.7K
99443	N/A	50	$110	$5.4K
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…	70	$80	$4.9K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	50	$70	$3.5K
99442	N/A	20	$70	$1.3K
99415	The clinical staff spends additional time directly with the patient on an office or outpatient evaluation and management service. Use this code for the first hour of additional time that the staff…	60	$20	$940
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	30	$10	$420

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

Claims Volume vs. California Distribution

Michael Burton — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	20,119	37,970	120	$90	$23.2K
99491	96	130	110	$70	$18K
99215	8,135	15,360	50	$130	$14.4K
99213	19,572	34,660	80	$70	$13.2K
99443	828	2,710	30	$90	$5.8K
99442	2,501	3,530	30	$60	$4.1K
99415	4	10	30	$20	$2.6K
36410	135	190	60	$10	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Amiel Moshfegh	CA	Vascular & Interventional Radiology Physician	$7.6M	$0
David Boyer	CA	Ophthalmology Physician	$5.6M	$3.4K
Homayoun Tabandeh	CA	Ophthalmology Physician	$5.1M	$6.8K
Gerald Ho	CA	Rheumatology Physician	$2.5M	$745.5K
Ernst Schwarz	CA	Cardiovascular Disease Physician	$1.1M	$1.7M
Navid Ezra	CA	Dermatology Physician	$1.8M	$975.2K
Pouya Dayani	CA	Ophthalmology Physician	$2.6M	$4.2K
Sandeep Khanna	CA	Ophthalmology Physician	$436.6K	$1.9M
Michael Samuel	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp.	CA	Federally Qualified Health Center (FQHC)	$0	$305.5M
Childrens Hospital Of Los Angeles	CA	Children's Hospital	$0	$137M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$66.4M
Asian Pacific Health Care Venture, Inc.	CA	Community Health Clinic/Center	$0	$54M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$48.2M
Los Angeles County Department Of Mental Health	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.3M
Kaiser Foundation Hospitals	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$27.4M
Children's Hospital Los Angeles Medical Group, Inc.	CA	Multi-Specialty Clinic/Center	$0	$24.6M
Ovik Avetisyan	CA	Durable Medical Equipment & Medical Supplies	$0	$23.8M
Lance Chapman	CA	MOHS-Micrographic Surgery Physician	$1.4M	$0

Michael Burton — Billing Profile & Reimbursement Data

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Michael Burton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References