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    OpenPayerNPI Medicare & MedicaidLindsey Burney
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    Lindsey Burney — Billing Profile & Reimbursement Data

    NPI 1619583143 · Water Valley, MS · Family Nurse Practitioner

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    Lindsey Burney is a family nurse practitioner provider located in Water Valley, Mississippi. This profile covers 21 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
    OrganizationLindsey Burney
    Address405 N Main St
    CityWater Valley
    StateMS
    ZIP38965
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 21, 2020

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is highly concentrated in wound/skin substitute services rather than routine primary care visits: Medicare revenue totals $2.3M, and the two largest line items are Q4236 (Carepatch, per square centimeter) with $1.3M in revenue (58.0% of Medicare revenue) and Q4205 (Membrane graft or membrane wrap, per square centimeter) with $848.3K (37.3% of Medicare revenue). Both codes are per-square-centimeter, add-on graft/substitute products, which indicates the practice’s principal revenue drivers are tissue/substitute application for wounds rather than standard E/M work. The precomputed top-3 codes together account for 96.7% of the provider’s total Medicare revenue, underscoring extreme revenue concentration in a narrow service line.

    The top-3 revenue concentration is striking and creates operational exposure: the precomputed top-3 codes account for 96.7% of Medicare revenue, led by Q4236 at 58.0% and Q4205 at 37.3%. Because these are product/add-on codes, the provider’s Medicare earnings are heavily dependent on utilization and billing of high-value graft/substitute materials, so shifts in coverage, pricing, or clinical protocols for those products could materially affect revenue.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.3M while there is no Medicaid billing on file (none below). This means analyses of commercial or state Medicaid exposure will not find on-file claims for this NPI and any contracting or network negotiations should be approached with the understanding that historical public-payer volume is limited to Medicare.

    Competitive standing on the two largest codes is modest at the national level: Q4236 ranks #44 of 79 providers nationally (45th percentile; typical, unremarkable volume for this code) and Q4205 ranks #41 of 63 providers nationally (35th percentile; typical, unremarkable volume for this code), indicating the provider is not a national leader in volume for those graft/substitute codes despite the large dollar share they represent in this practice. By contrast, the debridement code 11042 ranks #877 of 10712 providers nationally (92th percentile; typical, unremarkable volume for this code), which the data labels as typical but indicates relatively higher rank against the very large national denominator for debridement services.

    Service setting mix includes home and facility visits alongside wound procedures: the provider bills E/M home visit codes such as 99349 (338 claims, $26.4K, 1.2% of Medicare revenue) and nursing-facility codes such as 99308 (95 claims, $4.4K, 0.2% of Medicare revenue), suggesting the clinician performs both on-site wound care and in-residence evaluations. These E/M volumes are small relative to graft/substitute revenues, showing E/M serves as an adjunct to the core wound-product business rather than the primary revenue engine.

    Laboratory and targeted infectious-disease testing represent a negligible revenue stream: multiple amplified nucleic acid probe lab codes (for example 87798 with 143 claims and $4.9K revenue, and small volumes of MRSA and Strep A tests like 87641 and 87651 with $374 each) appear only in the low hundreds to single-hundreds of dollars, indicating ancillary testing is present but not a material driver of Medicare revenue. These lab lines are low-rank nationally (many noted at very low percentiles) and do not offset the revenue concentration in graft/substitute codes.

    Tenure and NPI enumeration are recent but multi-year: the NPI was enumerated on 2020-09-21 (~6 years ago), so the provider has built the current Medicare revenue profile over roughly a six-year span. That tenure supports the interpretation that the concentrated wound-product billing pattern is an established operational focus rather than a one-off anomaly.

    From a contracting and risk-management perspective, this profile signals a specialized, product-driven practice: most Medicare dollars derive from Q4236 and Q4205, so payer negotiations, utilization review, and coverage policy for per-square-centimeter graft/substitute products will be the most impactful levers to influence total spend with this provider. Given there is no Medicaid billing on file, state-plan engagements or managed Medicaid strategies will have limited immediate relevance to this NPI.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)1,250$1,050$1.3M
    Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)750$1,130$848.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.440$70$31.8K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…340$80$26.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.110$90$9.3K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…150$50$6.8K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…60$100$5.8K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…140$30$4.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…100$50$4.4K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…30$140$4.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4236620850$1,050$1.2M
    Q4205610750$1,130$853.6K
    8779843501,050$30$144.9K
    11043425070$140$19.3K
    875002730130$30$14.5K
    1104225140120$60$13.5K
    99308137260110$50$13K
    993491211060$80$10.8K
    87640515090$30$10.4K
    87641354070$30$9.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Strategic Solutions-panola Medical Center LLCMSRural Acute Care Hospital$0$17.6M
    Scott MartinMSFamily Medicine Physician$9M$0
    Strategic Solutions-panola Medical Center LLCMSRural Health Clinic/Center$0$6.7M
    Shannon WeathersMSFamily Nurse Practitioner$4.6M$0
    Lori CaseMSFamily Nurse Practitioner$4.2M$0
    Strategic Solutions-panola Medical Center LLCMSRural Health Clinic/Center$0$4M
    Amy ShuptrineTXNurse Practitioner$3.7M$0
    Chelsea CockrellMSFamily Nurse Practitioner$3M$0
    Anna GordonMSNurse Practitioner$2.9M$0
    Abbey RossMSNurse Practitioner$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yalobusha General HospitalMSGeneral Acute Care Hospital$0$2.5M
    Yalobusha General HospitalMSRural Health Clinic/Center$0$1.8M
    Jason H Clark & Sandra J ClarkMSPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$105.3K$36.7K
    Kimberly WebbMSFamily Medicine Physician$82.9K$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. Mississippi Distribution
    Lindsey Burney — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi