Boran, Thomas

Boran, Thomas was paid $11K by Medicaid between Nov 2020 and Jun 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoBORAN, THOMAS
POTTSVILLE, PA 17901

33aNPI1497748685assigned 08/24/2005

33bProvider typeOtolaryngology Physician

28Total paid$11K

24GClaims360

24DCodes billed3

24AFirst – last monthNov 2020 – Jun 2022

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#76 of 136

Median peer was paid$13K

This provider vs. median0.8×

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
2020	42	$1K
2021	259	$8K
2022	59	$2K

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	86%	308	301	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.9%	39	39	$832.14
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.9%	13	13	$623.87

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.