Clinic
Roly Borges, M.D., P.C.
Roly Borges, M.D., P.C. was paid $174K by Medicaid between Jan 2018 and May 2021, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoROLY BORGES, M.D., P.C.
ASTORIA, NY 11103
ASTORIA, NY 11103
33aNPI1265687081assigned 11/20/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$174K
24GClaims3,147
24DCodes billed13
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#121 of 242
Median peer was paid$172K
This provider vs. median1.0×
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 | 515 | $29K | |
| 2019 | 1,189 | $59K | |
| 2020 | 944 | $53K | |
| 2021 | 499 | $33K |
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 | 48% | 848 | 789 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 917 | 820 | $60K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.8% | 127 | 127 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.4% | 129 | 30 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.8% | 38 | 36 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 38 | 34 | $3K |
| 90682 | <1% | 26 | 26 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $620.12 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 37 | 37 | $567.01 |
| 36415 | Collection of venous blood by venipuncture | <1% | 798 | 776 | $538.48 |
| 99401 | <1% | 14 | 14 | $341.00 |
1 more codes
| 99000 | <1% | 148 | $3.68 |
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 officialBORGES, ROLANDO (PRINCIPAL)