Borkan, Jeffrey

Borkan, Jeffrey was paid $479K by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 66% of everything it billed.

33Billing provider infoBORKAN, JEFFREY
PAWTUCKET, RI 02860

33aNPI1154304996assigned 11/25/2005

33bProvider typeFamily Medicine Physician

28Total paid$479K

24GClaims4,249

24DCodes billed9

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#22 of 220

Median peer was paid$33K

This provider vs. median14×

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	617	$61K
2019	273	$47K
2020	563	$50K
2021	424	$37K
2022	682	$72K
2023	989	$124K
2024incomplete	701	$88K

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	66%	1,802	1,751	$316K
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%	1,318	1,287	$81K
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	16%	895	854	$78K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	15	12	$2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	35	33	$981.74
83036	Hemoglobin; glycosylated (A1C)	<1%	12	12	$870.16
1036F		<1%	69	68	$0.12
3078F		<1%	73	72	$0.10
3074F		<1%	30	30	$0.02

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.