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 Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Mary Burke (NPI 1770517104)

Field	Value
Entity Type	Individual
Organization	Mary Burke
Address	6600 E 2nd St
City	Casper
State	WY
ZIP	82609
Taxonomy	Family Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$253.5K
Medicaid	$0

Key Findings

Medicare revenue is heavily driven by outpatient injections and primary care visits: J0897 is the single largest line item with $146.9K in revenue (58.4% of the provider's Medicare revenue) for denosumab administration, complemented by evaluation-and-management visits coded as 99214 ($46.5K, 18.5%) and annual wellness visits coded as G0439 ($26K, 10.4%). This mix indicates the practice operates as a family-medicine setting that also administers office-based specialty biologic therapy on a regular basis.

The provider's Medicare revenue concentration is high: the precomputed top three codes together account for 87.3% of total Medicare revenue, with total Medicare receipts listed at $253.5K. This level of concentration suggests the business is dependent on a small set of services—chiefly denosumab injections and higher-level established-patient visits—for the bulk of its Medicare income.

Payer mix is effectively single-payer Medicare: Medicare revenue is $253.5K while there is no Medicaid billing on file. The absence of Medicaid activity means any analysis of payer risk or network strategy should treat this profile as Medicare-centric.

Competitive standing on its top codes is above median nationally but characterized in the source as routine: J0897 ranks #1542 of 10057 providers nationally (85th percentile; typical, unremarkable volume), 99214 ranks #43717 of 479517 (91th percentile; typical, unremarkable volume), and G0439 ranks #11043 of 105855 (89th percentile; typical, unremarkable volume). In plain terms, the provider is a relatively high-volume administrator of denosumab and high-complexity office visits compared with peers, yet these volumes are within expected ranges rather than extreme outliers.

The provider has long-tenure billing credentials, with an NPI enumerated on 2006-07-10 (~20 years ago), indicating an established presence in the market. This longevity, combined with concentrated service lines, suggests a stable practice pattern rather than a recent shift in service mix.

Beyond the top three codes, the practice performs routine vaccination and injection services at modest revenue shares: 90677 ($8.7K, 3.5%), 90662 ($3.8K, 1.5%), and administration codes G0008 ($2K, 0.8%) and G0009 ($960, 0.4%). These entries show a supplemental preventive-care and immunization stream supporting the core denosumab and E/M activity, but they do not materially diversify Medicare revenue.

Other commonly billed evaluation-and-management and minor procedure codes appear at typical or lower national percentiles—examples include 99213 ($10.7K, 4.2%, 77th percentile; typical, unremarkable volume), 99215 ($2.8K, 1.1%, 23th percentile; typical, unremarkable volume), and 93000 ($126, 0.1%, 11th percentile; typical, unremarkable volume). This pattern indicates a focused scope of services with modest generalist visit volume beyond the higher-complexity E/M code 99214 and the high-revenue injection J0897.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	8,160	$20	$146.9K
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…	540	$90	$46.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	$130	$26K
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…	190	$60	$10.7K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	30	$280	$8.7K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	50	$70	$3.8K
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…	20	$140	$2.8K
G0008	Administration of influenza virus vaccine	70	$30	$2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	170	$10	$1.7K
G0009	Administration of pneumococcal vaccine	30	$30	$960

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Mary Burke — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	4	50	1,800	$20	$51.1K
99214	60	780	100	$80	$14.8K
G0439	29	170	70	$120	$13.1K
99213	258	850	110	$60	$9.9K
90677	42	110	20	$280	$8.9K
90662	82	140	70	$70	$8.6K
99215	172	220	40	$120	$8.3K
G0008	108	210	70	$30	$3.2K
99212	244	350	30	$40	$2.4K
93000	94	110	30	$10	$910

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wyoming Health Medical Group, LLC	WY	Internal Medicine Physician	$0	$1.8M
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Debra Griner	WY	Family Nurse Practitioner	$622.8K	$0
Banner Health Physicians West LLC	WY	Multi-Specialty Clinic/Center	$0	$368.9K
Platte County Hospital	WY	Rural Health Clinic/Center	$0	$344.5K
Matthew Rutman	NY	Urology Physician	$277.1K	$39.9K
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0
Marjorie Wells	WY	Family Medicine Physician	$273.6K	$0
Kumari Usha	WI	Nephrology Physician	$258.2K	$0
Jason Lloyd	WY	Family Medicine Physician	$241.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M

Mary Burke — Billing Profile & Reimbursement Data

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Mary Burke — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References