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    OpenPayerNPI Medicare & MedicaidLisa Burke
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    Lisa Burke — Billing Profile & Reimbursement Data

    NPI 1659330553 · Scott Depot, WV · Obstetrics & Gynecology Physician

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    Lisa Burke is a obstetrics & gynecology physician provider located in Scott Depot, West Virginia. This profile covers 7 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
    OrganizationLisa Burke
    Address300 Corporate Center Drive
    CityScott Depot
    StateWV
    ZIP25560
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedMarch 20, 2006

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

    Payer SourceTotal Paid
    Medicare$11.2K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…40$80$2.9K
    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…50$60$2.7K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination70$30$2.4K
    57160In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.30$40$1.3K
    99203The provider sees a new 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 provider…10$80$990
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…40$20$800
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…10$1$40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067105120160$40$10.1K
    992131,8602,86080$50$7.5K
    7706399110160$30$6.5K
    9920381594030$60$2.8K
    G010199030$30$1.3K
    5716011030$50$1.2K
    8100216418030$1$150

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vishal VermaWVOphthalmology Physician$419.8K$0
    Robin AroraWVNephrology Physician$392.5K$0
    Rabah BoukhemisWVPhysical Medicine & Rehabilitation Physician$210.6K$0
    Matthew BullockWVAdult Reconstructive Orthopaedic Surgery Physician$207.9K$0
    Alexander CaughranWVOrthopaedic Surgery Physician$175.4K$0
    Zeid KhitanWVNephrology Physician$165.4K$0
    Khalid AbozguiaWVClinical Cardiac Electrophysiology Physician$155.6K$0
    Ali OliashiraziWVOrthopaedic Surgery Physician$145.2K$0
    Wesam FrandahWVGastroenterology Physician$139K$0
    Jarrod SmithWVOrthopaedic Surgery Physician$73.9K$52.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Women Care IncWVFederally Qualified Health Center (FQHC)$0$20.5M
    Valley Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$6.3M
    Teays Valley Volunteer Fire Department IncWVAmbulance$235.1K$657.5K
    Lydia SmithWVFamily Nurse Practitioner$54.2K$0
    Nicole ClendeninWVFamily Nurse Practitioner$50.8K$0
    Christopher KennedyWVPhysician Assistant$19.1K$0
    James NottinghamWVNurse Practitioner$10.7K$0
    Kara CiprianiWVFamily Nurse Practitioner$8.3K$0
    Mary JenkinsWVFamily Medicine Physician$7.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Lisa Burke — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia