Physician

Stephen Burke, MD

According to 2025 Medicare claims, Stephen Burke, MD (NPI: 1851392492) practices family practice in the Kingsport-Bristol, TN-VA market, with the plurality of this provider's patient population coming from Sullivan, TN. This provider's primary affiliated billing organization is HOLSTON MEDICAL GROUP PC (NPI: 1831110667; TIN: 621388079) and primary practice location at 37620-7352. Burke is affiliated with the Emergent ACO, LLC (ACO ID: A4556) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Burke's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 396 traditional Medicare patients, billed 3,961 HCPCS/CPT codes, and received $173,554 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 21,542 prescription claims across 1,053 beneficiaries totaling $1,498,138 in drug costs, led by Eliquis (Apixaban). DME data shows 416 claims. Open Payments data shows 13 records totaling $217. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $119,620 to $173,554. Similarly, Part D prescription costs have risen steadily, from $756,371 to $1,498,138. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $29,851 and ending at $22,176.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	497	3,348	$119,620
2016	388	2,790	$94,425
2017	387	3,645	$110,351
2018	383	2,772	$95,830
2019	460	3,430	$113,608
2020	442	3,115	$101,796
2021	460	3,544	$139,453
2022	415	3,575	$129,552
2023	403	3,497	$137,055
2024	396	3,961	$173,554

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	635	13,992	$756,371
2016	682	14,467	$773,925
2017	712	15,604	$918,654
2018	766	15,847	$932,936
2019	806	16,911	$1,180,447
2020	866	17,708	$1,176,964
2021	906	18,661	$1,266,762
2022	969	19,274	$1,443,212
2023	1,002	20,543	$1,625,387
2024	1,053	21,542	$1,498,138

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	62	436	$26,339
2016	93	445	$17,161
2017	105	500	$15,215
2018	108	536	$15,598
2019	132	520	$16,346
2020	242	706	$25,087
2021	147	640	$24,138
2022	142	476	$20,405
2023	111	427	$17,353
2024	96	416	$17,401

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	281	281	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	658	$76
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	116	571	$46
36415	Insertion of needle into vein for collection of blood sample	223	288	$9
85027	Complete blood cell count (red cells, white blood cell, platelets), automated test	270	371	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	295	14,975	$283,940
Jardiance	Empagliflozin	76	4,320	$81,390
Xarelto	Rivaroxaban	86	4,332	$79,510
Farxiga	Dapagliflozin Propanediol	83	3,990	$74,762
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	77	3,210	$65,801

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7031	Face mask interface, replacement for full face mask, each	N	12	34	$3,326
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	42	$3,190
A7030	Full face mask used with positive airway pressure device, each	N	12	33	$2,826
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	12	38	$1,413
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	11	$1,396

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	13	$217	Novo Nordisk Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Stephen Burke, MD?

Tedicare shows public-source Medicare data for Stephen Burke, MD (NPI 1851392492), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Stephen Burke, MD have ACO affiliation data?

Stephen Burke, MD is shown with ACO affiliation data for Emergent ACO, LLC (MSSP, ACO ID A4556) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Stephen Burke, MD?

Stephen Burke, MD is linked to HOLSTON MEDICAL GROUP PC (billing NPI 1831110667) in the available physician profile data.

Does Stephen Burke, MD have Open Payments data?

Stephen Burke, MD has 13 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.