Physician
Burke Primary Care, LLC
Burke Primary Care, LLC was paid $2.71M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoBURKE PRIMARY CARE, LLC
MORGANTON, NC 28655
MORGANTON, NC 28655
33aNPI1225085707assigned 05/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.71M
24GClaims162,445
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#40 of 960
Median peer was paid$135K
This provider vs. median20×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,297 | $192K | |
| 2019 | 5,125 | $217K | |
| 2020 | 3,573 | $173K | |
| 2021 | 19,691 | $455K | |
| 2022 | 29,565 | $485K | |
| 2023 | 34,842 | $458K | |
| 2024incomplete | 64,352 | $729K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 13,448 | 10,599 | $915K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 16,053 | 13,077 | $847K |
| 99199 | Unlisted special service, procedure or report | 19% | 114,985 | 63,296 | $526K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 11% | 2,341 | 1,841 | $298K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,423 | 1,114 | $23K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 5,721 | 4,773 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 591 | 438 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,866 | 1,622 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 697 | 329 | $9K |
| 80053 | Comprehensive metabolic panel | <1% | 493 | 439 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,675 | 1,369 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 78 | 69 | $3K |
23 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 71 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 89 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 145 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 185 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 65 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $2K |
| 80061 | Lipid panel | <1% | 168 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 125 | $2K |
| 92551 | <1% | 907 | $1K | |
| 0011A | <1% | 13 | $715.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 78 | $675.77 |
| 90686 | <1% | 179 | $654.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 85 | $636.75 |
| 82570 | <1% | 110 | $543.86 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 56 | $455.70 |
| 99173 | <1% | 542 | $275.37 | |
| 90674 | <1% | 64 | $234.81 | |
| 90656 | <1% | 15 | $64.41 | |
| 81001 | <1% | 16 | $46.92 | |
| 81002 | <1% | 13 | $9.45 | |
| 36416 | 0% | 52 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 91301 | 0% | 57 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialGALLAGHER, SCOTT (ADMINISTRATOR)