Boroughs, Jon

Boroughs, Jon was paid $606K by Medicaid between Jan 2018 and Dec 2020, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoBOROUGHS, JON
HIXSON, TN 37343

33aNPI1497956148assigned 05/30/2007

33bProvider typePediatrics Physician

28Total paid$606K

24GClaims28,898

24DCodes billed39

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#95 of 333

Median peer was paid$139K

This provider vs. median4.3×

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	9,249	$188K
2019	11,671	$223K
2020	7,978	$195K

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	22%	3,560	3,124	$131K
96110	Developmental screening, with scoring and documentation, per standardized instrument	14%	2,283	1,938	$84K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	1,146	1,014	$75K
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	12%	1,234	1,098	$70K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	1,506	1,249	$65K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	1,144	933	$64K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.1%	565	502	$37K
96161		2.2%	604	472	$13K
90472	Immunization administration, each additional vaccine (list separately)	1.9%	535	421	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.7%	761	357	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	591	549	$8K
99174		1.1%	769	647	$7K

27 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	773	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	582	$6K
99173		<1%	559	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	49	$4K
83655		<1%	215	$3K
81003		<1%	1,297	$3K
92587		<1%	34	$1K
90473		<1%	111	$963.50
36416		<1%	307	$872.92
90474		<1%	60	$574.00
90688		<1%	312	$553.34
36415	Collection of venous blood by venipuncture	<1%	178	$552.75
90461		<1%	1,122	$123.86
88720		<1%	16	$100.35
90633		<1%	345	$87.34
96127		<1%	18	$82.71
92558		<1%	12	$76.98
90687		<1%	291	$22.00
3008F		0%	2,446	$0.00
90680		0%	657	$0.00
90744		0%	361	$0.00
90716		0%	166	$0.00
90700		0%	1,133	$0.00
90670		0%	985	$0.00
90707		0%	250	$0.00
90648		0%	977	$0.00
90713		0%	944	$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.