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    OpenPayerNPI Medicare & MedicaidLes Burns
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    Les Burns — Billing Profile & Reimbursement Data

    NPI 1528092608 · Wayne, NJ · Obstetrics & Gynecology Physician

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    Les Burns is a obstetrics & gynecology physician provider located in Wayne, New Jersey. This profile covers 12 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
    OrganizationLes Burns
    Address1784 Hamburg Tpke
    CityWayne
    StateNJ
    ZIP07470
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicare$26.7K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$140$9.2K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination80$40$3.5K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory50$50$2.6K
    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$60$2.5K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.20$100$1.9K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…20$100$1.9K
    82274The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…120$20$1.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$80$1.6K
    88738The lab analyst performs the technical lab test to measure the hemoglobin level in a patient transcutaneously, a method that does not puncture the skin. The result is a number.120$10$610
    G0008Administration of influenza virus vaccine20$30$550

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921310,56914,090100$70$13.1K
    G04391,6893,37070$120$11.5K
    364151,8902,200110$10$11.1K
    82274134050$20$9.3K
    906941,2161,46070$70$8.4K
    7685624339030$70$3.7K
    G00083,3644,29050$30$3K
    7683022737020$80$2.7K
    G010117972040$40$2.6K
    Q009114149030$50$2.3K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Circle Of Care For Families & Children, Inc.NJCase Management Agency$0$60.3M
    Podiatry Center Of New Jersey, LLCNJPodiatric Clinic/Center$0$57.1M
    Visiting Homemaker Service Of Passaic CountyNJHome Health Agency$0$13.1M
    Basic Home Infusion, LLCNJHome Infusion Therapy Pharmacy$0$11.6M
    Pulse Medical TransportationNJAmbulance$2.6M$4M
    Jonathan GreenbergNJOphthalmology Physician$2.6M$0
    Valley Medical Transportation, LLCNJNon-emergency Medical Transport (VAN)$1.3M$396K
    Michael SakowitzNJPsychologist$24.2K$1.1M
    Wayne Surgical Center LLCNJAmbulatory Surgical Clinic/Center$667.5K$0
    William GrellaNJInternal Medicine Physician$664.1K$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.

    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. New Jersey Distribution
    Les Burns — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey