Physician
Borenstein, Martin
Borenstein, Martin was paid $670K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoBORENSTEIN, MARTIN
SKOKIE, IL 60076
SKOKIE, IL 60076
33aNPI1366466658assigned 07/27/2006
33bProvider typePediatrics Physician
28Total paid$670K
24GClaims22,997
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#223 of 1,805
Median peer was paid$55K
This provider vs. median12×
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 | 69 | $2K | |
| 2019 | 112 | $4K | |
| 2020 | 3,961 | $80K | |
| 2021 | 6,426 | $178K | |
| 2022 | 6,578 | $205K | |
| 2023 | 3,454 | $110K | |
| 2024incomplete | 2,397 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 5,824 | 4,915 | $295K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,046 | 774 | $80K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.0% | 1,182 | 669 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 603 | 536 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 640 | 491 | $44K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.2% | 945 | 802 | $42K |
| 96127 | 2.8% | 1,042 | 853 | $19K | |
| 99000 | 2.2% | 778 | 581 | $15K | |
| 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 | 1.7% | 135 | 115 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 112 | 100 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 107 | 92 | $8K |
| 92551 | 1.1% | 490 | 462 | $7K |
31 more codes
| 90670 | <1% | 519 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 250 | $5K |
| 90686 | <1% | 379 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 81 | $3K |
| 83655 | <1% | 202 | $2K | |
| 90697 | <1% | 135 | $2K | |
| 90648 | <1% | 248 | $2K | |
| 36416 | <1% | 459 | $2K | |
| 90680 | <1% | 113 | $2K | |
| 90723 | <1% | 138 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $962.10 |
| 92587 | <1% | 69 | $899.69 | |
| 90633 | <1% | 67 | $869.38 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 49 | $769.30 |
| 90671 | <1% | 38 | $687.62 | |
| 85018 | <1% | 273 | $633.36 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 46 | $627.80 |
| 90381 | <1% | 24 | $401.04 | |
| 90661 | <1% | 19 | $317.49 | |
| 90696 | <1% | 25 | $160.00 | |
| 90710 | <1% | 22 | $140.80 | |
| 94760 | <1% | 93 | $35.20 | |
| 99051 | 0% | 176 | $0.00 | |
| 1003F | 0% | 1,873 | $0.00 | |
| 99177 | 0% | 272 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,121 | $0.00 |
| 90461 | 0% | 1,123 | $0.00 | |
| 99072 | 0% | 701 | $0.00 | |
| 1220F | 0% | 159 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 16 | $0.00 |
| 1036F | 0% | 360 | $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.