Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Hinsdale › NPI 1972504447
Physician

Borok, Raphael

Borok, Raphael was paid $2.30M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 9.8% of everything it billed.

33Billing provider infoBOROK, RAPHAEL
HINSDALE, IL 60521
33aNPI1972504447assigned 08/09/2005
28Total paid$2.30M
24GClaims385,469
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#31 of 398
Median peer was paid$66K
This provider vs. median35×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201843,451$192K
201984,941$417K
202050,772$260K
202154,476$439K
202260,306$478K
202347,930$281K
2024incomplete43,593$233K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 9.8% 3,850 2,611 $225K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9.3% 2,812 2,709 $214K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8.7% 8,866 7,401 $201K
80053 Comprehensive metabolic panel 8.2% 37,357 23,171 $190K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.8% 54,771 33,545 $157K
80048 Basic metabolic panel (calcium, ionized) 5.4% 29,943 17,190 $125K
83735 4.1% 26,233 13,011 $95K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3.4% 454 411 $77K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.8% 2,903 2,805 $63K
87040 2.3% 6,461 3,739 $54K
84484 2.2% 12,456 9,014 $50K
84443 Thyroid stimulating hormone (TSH) 2.0% 5,654 5,041 $46K
114 more codes
85027 2.0% 16,002 $46K
83690 1.7% 11,225 $39K
83880 1.6% 3,300 $38K
87641 1.5% 1,489 $34K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 1,479 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.4% 1,465 $32K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.3% 669 $30K
87086 Culture, bacterial; quantitative colony count, urine 1.2% 5,344 $28K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.0% 891 $24K
80076 <1% 5,962 $22K
82803 <1% 2,502 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 606 $21K
84100 <1% 9,033 $20K
85730 <1% 6,337 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,920 $19K
83605 <1% 4,215 $19K
86901 <1% 7,860 $17K
88377 <1% 382 $17K
85379 <1% 4,294 $17K
85610 <1% 8,026 $16K
81001 <1% 11,857 $15K
80061 Lipid panel <1% 4,817 $14K
86850 <1% 4,674 $14K
84703 <1% 3,833 $13K
86900 <1% 7,855 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,537 $12K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 491 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 3,935 $12K
85390 <1% 2,002 $12K
84132 <1% 4,002 $8K
85060 <1% 585 $8K
82550 <1% 2,459 $7K
86780 <1% 864 $7K
82248 <1% 3,410 $7K
82247 <1% 3,055 $7K
87186 <1% 931 $6K
86140 <1% 2,479 $6K
87070 <1% 1,706 $5K
82728 <1% 1,430 $5K
84702 <1% 1,127 $5K
84481 <1% 862 $4K
84439 <1% 881 $4K
81003 <1% 3,490 $4K
82565 <1% 1,610 $4K
82607 <1% 591 $4K
87075 <1% 503 $3K
87205 <1% 1,810 $3K
84165 <1% 863 $3K
87081 <1% 1,097 $3K
85018 <1% 2,877 $3K
86334 <1% 363 $3K
83550 <1% 651 $3K
82077 <1% 188 $3K
82805 <1% 464 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 558 $2K
82746 <1% 425 $2K
86880 <1% 844 $2K
85014 <1% 2,080 $2K
81025 <1% 1,684 $2K
85652 <1% 1,765 $2K
88342 <1% 196 $2K
82570 <1% 927 $2K
80164 <1% 433 $2K
88363 <1% 225 $2K
82140 <1% 457 $2K
82150 <1% 522 $2K
83615 <1% 585 $2K
84480 <1% 397 $2K
87210 <1% 692 $2K
87807 <1% 263 $1K
84145 <1% 1,059 $1K
84436 <1% 379 $1K
87088 <1% 214 $1K
84153 <1% 179 $1K
87507 <1% 33 $1K
87077 <1% 396 $1K
82375 <1% 436 $969.84
87340 <1% 146 $957.87
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 27 $953.91
82378 <1% 135 $899.14
84550 <1% 506 $845.52
86038 <1% 106 $809.15
82962 <1% 711 $781.21
80202 <1% 102 $677.28
85651 <1% 282 $648.60
G0452 Molecular pathology procedure; physician interpretation and report <1% 202 $646.28
86592 <1% 329 $642.00
83050 <1% 427 $611.44
85384 <1% 195 $592.84
87493 <1% 24 $526.93
84166 <1% 153 $521.25
88341 <1% 15 $518.99
87390 <1% 44 $506.00
86706 <1% 58 $389.70
86480 <1% 14 $363.58
88307 <1% 12 $305.20
86803 <1% 37 $293.62
86701 <1% 44 $278.64
84156 <1% 248 $273.70
82043 <1% 132 $258.07
84300 <1% 105 $220.48
86702 <1% 44 $219.30
88291 <1% 18 $198.50
86704 <1% 27 $193.75
86335 <1% 20 $110.70
82553 <1% 37 $100.17
80320 <1% 2,143 $88.25
83540 <1% 28 $69.85
80329 <1% 67 $64.00
82010 <1% 24 $48.40
85046 <1% 14 $35.62
83935 <1% 13 $30.29
84295 <1% 27 $21.83
85007 <1% 144 $19.25

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.