Physician
Burden, Theodore
Burden, Theodore was paid $234K by Medicaid between Sep 2020 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoBURDEN, THEODORE
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
33aNPI1811980030assigned 08/23/2005
33bProvider typeInternal Medicine Physician
28Total paid$234K
24GClaims13,416
24DCodes billed29
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#113 of 1,726
Median peer was paid$6K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2020 | 1,095 | $28K | |
| 2021 | 7,203 | $148K | |
| 2022 | 2,579 | $36K | |
| 2023 | 1,610 | $12K | |
| 2024incomplete | 929 | $11K |
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 | 78% | 3,444 | 3,164 | $183K |
| S9470 | Nutritional counseling, dietitian visit | 15% | 1,275 | 1,205 | $36K |
| 99406 | 2.1% | 380 | 356 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 124 | 118 | $4K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 15 | 15 | $2K |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | <1% | 93 | 85 | $2K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 17 | 17 | $913.92 |
| 96160 | <1% | 201 | 198 | $475.59 | |
| 99447 | <1% | 27 | 27 | $406.00 | |
| 98960 | <1% | 39 | 36 | $240.00 | |
| 99408 | <1% | 30 | 30 | $186.06 | |
| 82962 | <1% | 177 | 166 | $180.40 |
17 more codes
| 96127 | <1% | 34 | $105.98 | |
| 4010F | <1% | 54 | $0.01 | |
| 1125F | 0% | 586 | $0.00 | |
| 3079F | 0% | 868 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 269 | $0.00 |
| 3008F | 0% | 2,316 | $0.00 | |
| 1036F | 0% | 359 | $0.00 | |
| 1130F | 0% | 558 | $0.00 | |
| 3074F | 0% | 679 | $0.00 | |
| 3075F | 0% | 175 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 16 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| 1159F | 0% | 488 | $0.00 | |
| 1160F | 0% | 433 | $0.00 | |
| 3078F | 0% | 689 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 42 | $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.