Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marcos Borrero MD. INC.

Marcos Borrero MD. INC. was paid $129K by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoMARCOS BORRERO MD. INC.
SAN DIEGO, CA 92154
33aNPI1073704524assigned 08/08/2007
28Total paid$129K
24GClaims110,065
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#573 of 2,679
Median peer was paid$13K
This provider vs. median10×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201823,489$26K
201913,842$21K
20207,616$21K
202111,366$19K
202215,169$20K
202320,464$14K
2024incomplete18,119$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 27,975 26,552 $46K
90756 28% 1,445 1,445 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.8% 8,604 8,196 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 8.5% 1,123 1,114 $11K
99429 3.6% 31 31 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 569 569 $3K
99497 2.3% 256 256 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.1% 2,073 2,048 $3K
94760 2.0% 21,993 21,031 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.4% 280 279 $2K
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 <1% 582 580 $1K
92081 <1% 448 448 $593.66
44 more codes
90715 <1% 45 $488.50
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 44 $334.60
96160 <1% 750 $321.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 165 $316.78
82947 <1% 4,736 $313.82
90658 <1% 13 $233.88
96127 <1% 206 $212.28
92551 <1% 163 $207.54
99397 <1% 142 $147.22
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 74 $137.50
93000 <1% 86 $116.07
85018 <1% 509 $112.19
90688 <1% 12 $111.50
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 2,541 $57.33
81002 <1% 621 $42.49
86580 <1% 16 $9.71
99173 <1% 33 $8.06
99499 <1% 1,517 $0.01
3075F 0% 1,606 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 539 $0.00
3080F 0% 500 $0.00
1126F 0% 152 $0.00
3079F 0% 2,451 $0.00
1111F 0% 917 $0.00
1170F 0% 242 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 756 $0.00
3074F 0% 11,383 $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% 49 $0.00
90733 0% 14 $0.00
1125F 0% 34 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 67 $0.00
1220F 0% 146 $0.00
G0008 Administration of influenza virus vaccine 0% 19 $0.00
3077F 0% 1,636 $0.00
3078F 0% 11,532 $0.00
1160F 0% 216 $0.00
1090F 0% 52 $0.00
99001 0% 64 $0.00
3288F 0% 123 $0.00
1159F 0% 206 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 12 $0.00
1158F 0% 150 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 135 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 12 $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 officialBORRERO, MARCOS (PRESIDENT)