STEPHEN BURKE, MD
Family Medicine Physician · BRISTOL, TN
Individual Active NPI 1851392492
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 396 | 3,961 | $375,889 | $221,942 | $173,554 |
| 2023 | 403 | 3,497 | $308,751 | $179,832 | $137,055 |
| 2022 | 415 | 3,575 | $315,791 | $178,379 | $129,552 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 658 | $120 | $76 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 571 | $60 | $46 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 382 | $45 | $34 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 371 | $6 | $6 |
| 36415 | Insertion of needle into vein for collection of blood sample | 288 | $9 | $9 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 281 | $123 | $123 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 94 | $86 | $64 |
| G0008 | Administration of influenza virus vaccine | 79 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 75 | $80 | $80 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 34 | $3 | $3 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 33 | $14 | $14 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 27 | $196 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD39699 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.