NP / PA
Burke, Kristen
Burke, Kristen was paid $114K by Medicaid between Oct 2019 and Nov 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoBURKE, KRISTEN
WORCESTER, MA 01604
WORCESTER, MA 01604
33aNPI1407312192assigned 02/18/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$114K
24GClaims2,254
24DCodes billed21
24AFirst – last monthOct 2019 – Nov 2021
Compared with peers
Next to other Family Nurse Practitioner providers in Massachusetts
Rank by total paid#34 of 327
Median peer was paid$5K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2019 | 116 | $6K | |
| 2020 | 730 | $39K | |
| 2021 | 1,408 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 703 | 674 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 257 | 248 | $22K |
| 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 | 13% | 211 | 195 | $15K |
| 87070 | 9.7% | 244 | 137 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.1% | 102 | 99 | $6K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.8% | 65 | 64 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.8% | 65 | 64 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 130 | 127 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 3.5% | 132 | 109 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 117 | 110 | $3K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.2% | 15 | 15 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 52 | 48 | $1K |
9 more codes
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 13 | $477.61 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 36 | $394.20 |
| 86803 | <1% | 13 | $326.51 | |
| 86694 | <1% | 12 | $308.07 | |
| 86780 | <1% | 13 | $272.48 | |
| 86706 | <1% | 13 | $254.71 | |
| 87088 | <1% | 13 | $246.41 | |
| 87340 | <1% | 13 | $241.54 | |
| 81003 | <1% | 35 | $50.22 |
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.