Borschel, Dawn

Borschel, Dawn was paid $1.07M by Medicaid between Feb 2018 and Dec 2024, across 29 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 51% of everything it billed.

33Billing provider infoBORSCHEL, DAWN
PAWTUCKET, RI 02860

33aNPI1124002365assigned 12/01/2005

33bProvider typeFamily Medicine Physician

28Total paid$1.07M

24GClaims12,808

24DCodes billed29

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#5 of 220

Median peer was paid$33K

This provider vs. median32×

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
2018	1,375	$141K
2019	992	$131K
2020	3,491	$224K
2021	3,813	$277K
2022	1,724	$171K
2023	740	$61K
2024incomplete	673	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	51%	3,207	2,935	$548K
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	18%	2,127	2,002	$193K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	2,886	2,744	$181K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.8%	342	320	$30K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2.6%	686	637	$28K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	1.5%	90	89	$16K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.4%	267	248	$15K
83036	Hemoglobin; glycosylated (A1C)	1.3%	230	222	$14K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	194	181	$7K
80048	Basic metabolic panel (calcium, ionized)	<1%	165	155	$7K
80061	Lipid panel	<1%	113	109	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	127	123	$6K

17 more codes

87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	55	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	105	$3K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	39	$3K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	83	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	44	$2K
84443	Thyroid stimulating hormone (TSH)	<1%	14	$805.48
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	13	$576.91
81025		<1%	12	$426.81
3078F		<1%	606	$1.00
1036F		<1%	499	$0.70
3074F		<1%	428	$0.20
3079F		<1%	139	$0.19
90686		<1%	16	$0.16
3077F		<1%	103	$0.16
4010F		<1%	128	$0.14
4004F		<1%	14	$0.09
3075F		<1%	76	$0.03

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.