Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BURKE PRIMARY CARE, LLC

NPI: 1225085707 · MORGANTON, NC 28655 · Family Medicine Physician · NPI assigned 05/28/2006

$2.71M
Total Medicaid Paid
162,445
Total Claims
101,574
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLAGHER, SCOTT (ADMINISTRATOR)
NPI Enumeration Date05/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 64,352 $729K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,448 10,599 $915K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,053 13,077 $847K
99199 Unlisted special service, procedure or report 114,985 63,296 $526K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,341 1,841 $298K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 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) 5,721 4,773 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 591 438 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,866 1,622 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 697 329 $9K
80053 Comprehensive metabolic panel 493 439 $4K
36415 Collection of venous blood by venipuncture 1,675 1,369 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 78 69 $3K
99215 Prolong outpt/office vis 71 52 $3K
90472 Immunization administration, each additional vaccine (list separately) 89 76 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 145 94 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 185 167 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 65 61 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 26 $2K
80061 Lipid panel 168 157 $2K
84443 Thyroid stimulating hormone (TSH) 125 115 $2K
92551 907 760 $1K
0011A 13 13 $715.00
83036 Hemoglobin; glycosylated (A1C) 78 66 $675.77
90686 179 149 $654.17
96110 Developmental screening, with scoring and documentation, per standardized instrument 85 68 $636.75
82570 110 92 $543.86
80048 Basic metabolic panel (calcium, ionized) 56 49 $455.70
99173 542 449 $275.37
90674 64 58 $234.81
90656 15 15 $64.41
81001 16 12 $46.92
81002 13 12 $9.45
36416 52 50 $0.00
3044F 12 12 $0.00
91301 57 55 $0.00