Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Burkhart, James

Burkhart, James was paid $7K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoBURKHART, JAMES
KNOXVILLE, TN 37916
33aNPI1154314607assigned 08/30/2005
28Total paid$7K
24GClaims321
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#50 of 75
Median peer was paid$42K
This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018279$6K
201942$903.65
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52% 126 95 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 176 135 $3K
73560 1.8% 19 12 $129.36

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.