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

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

Guy Burrows (NPI 1821075060)

Key Findings

Field	Value
Entity Type	Individual
Organization	Guy Burrows
Address	9191 Pinecroft Dr.
City	Shenandoah
State	TX
ZIP	77380
Taxonomy	Neurology Physician
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicare	$11.3M
Medicaid	$0

This provider’s Medicare business is the sole payer presence on record: total Medicare revenue is $11.3M and there is no Medicaid billing on file. The absence of any Medicaid revenue makes this effectively a single‑payer (Medicare) revenue profile, which concentrates payer exposure and reimbursement dependence.

Revenue is highly concentrated in a narrow set of infusion and administration codes: the precomputed top 3 Medicare codes by revenue account for 98.0% of this provider’s total Medicare revenue, with J1561 alone generating $10.7M (96.1% of Medicare revenue) from 282.5K claims at $38 avg paid/claim. The remaining top-3 contributors are 96365 ($133.5K, 1.2%) and 96366 ($78.8K, 0.7%), which together account for almost all non‑J1561 Medicare receipts.

The procedural mix indicates an infusion‑centric neurology practice: J1561 (immune globulin product administration) dominates revenue, supported by very high volumes of infusion administration codes 96365 and 96366. Presence of high‑volume IV administration codes alongside immune globulin billing suggests in‑office or clinic‑based infusion services as the primary service line rather than purely outpatient E/M visits.

Competitive standing for infusion services is extreme: J1561 ranks #1 of 180 providers nationally (100th percentile; extreme outlier), 96366 ranks #1 of 2976 providers nationally (100th percentile; extreme outlier), and 96365 ranks #14 of 8873 providers nationally (100th percentile; extreme outlier). These ranks and percentile labels indicate nationally exceptional billing volume for these infusion drugs and administration services relative to peers, positioning the provider as a dominant outlier in those CPT/HCPCS codes.

The practice also bills substantial, high‑percentile neurodiagnostic studies at much smaller revenue share: 95913 produced $62.2K (0.6% of Medicare revenue) and ranks #22 of 1528 (99th percentile; extreme outlier), while 95886 produced $61K (0.5%) and ranks #58 of 6525 (99th percentile; extreme outlier). These diagnostic code positions show notable national-level activity in EMG/NCS testing but they represent only a minor portion of total revenue compared with infusion drug billing.

Evaluation and management activity exists but contributes a small share of revenue: 99215 accounts for $47.3K (0.4% of Medicare revenue) and 99205 accounts for $8.9K (0.1%). The relative dollar volumes for E/M codes indicate that office visits and complex new‑patient encounters are present in the service mix but are not the primary revenue drivers.

The provider is long‑tenured on the NPI registry, enumerated on 2005-12-29 (~21 years ago), which suggests an established practice and operational continuity over time. Longevity combined with the concentrated infusion business line may reflect a stable, specialty‑focused operation rather than a newly developed service.

This profile carries concentration risk for payers and network planners: with 96.1% of Medicare revenue from a single drug code (J1561) and 98.0% of revenue coming from the top three codes, any changes to coverage, reimbursement, or supply for immune globulin or administration codes could materially affect the provider’s revenue stream. The complete lack of Medicaid billing on file further heightens payer mix concentration and limits diversification across payers.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	282,500	$40	$10.7M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,720	$50	$133.5K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	4,930	$20	$78.8K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	280	$220	$62.2K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	840	$70	$61K
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…	340	$140	$47.3K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	560	$30	$14K
99205	The provider sees a new 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 provider…	50	$170	$8.9K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	640	$10	$7.7K
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…	70	$100	$6.5K

Showing 1–10 of 15

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1561	1	20	16,380	$40	$1.3M
99214	20,723	32,500	110	$80	$17.6K
95913	3	130	30	$210	$11.2K
95886	7	450	70	$70	$9.7K
99215	289	8,730	40	$120	$9.2K
99213	24,307	29,790	70	$60	$8.4K
96365	2	890	90	$50	$7.2K
99205	795	4,320	30	$150	$5.5K
36415	2,724	6,270	100	$10	$4.5K
96366	1	390	70	$20	$2.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Urgent Care PA	TX	Urgent Care Clinic/Center	$0	$25.2M
Maxim Healthcare Services, Inc.	TX	Home Health Agency	$0	$19M
Shaun S. Varghese, M.d., PLLC	TX	Neurology with Special Qualifications in Child Neurology Physician	$0	$16.8M
Singleton Associates PA	TX	Diagnostic Radiology Physician	$0	$16.2M
Trifecta Pharmacy LLC	TX	Community/Retail Pharmacy	$7.9M	$1.3K
Samir Shirodkar	TX	Urology Physician	$3.4M	$0
Randall Johnson	TX	Rheumatology Physician	$2.5M	$0
Wise Diagnostic Systems, LLC	TX	Clinical Medical Laboratory	$2M	$451.8K
Asit Choksi	TX	Medical Oncology Physician	$2.4M	$0
Carolyn Chen	TX	Ophthalmology Physician	$2M	$0

Guy Burrows — 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

Nearby Providers

Frequently Asked Questions

References