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    OpenPayerNPI Medicare & MedicaidNicolas Bordas
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    Nicolas Bordas — Billing Profile & Reimbursement Data

    NPI 1023422870 · Gadsden, AL · Infectious Disease Physician

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    Nicolas Bordas is a infectious disease physician provider located in Gadsden, Alabama. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicolas Bordas
    Address1026 Goodyear Ave Ste 302b
    CityGadsden
    StateAL
    ZIP35903
    TaxonomyInfectious Disease Physician
    NPI EnumeratedJune 19, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$117.1K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data: lifetime Medicare revenue is $117.1K and there is no Medicaid billing on file. The absence of any Medicaid claims indicates the provider’s publicly available billing footprint is concentrated entirely in Medicare.

    Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top three Medicare codes account for 88.9% of this provider’s total Medicare revenue. Those three codes are 99233 (36.7% of Medicare revenue, $43K), 99223 (29.8% of Medicare revenue, $34.8K), and 99232 (22.4% of Medicare revenue, $26.3K), signaling that a few services drive almost all Medicare dollars.

    The mix of high‑revenue codes points to a hospital‑based, inpatient practice pattern: 99223 is an initial hospital inpatient/observation E/M, 99233 and 99232 are subsequent hospital inpatient/observation E/M codes, and 99291 is critical care. Together these codes indicate the provider delivers inpatient consults and some critical care management rather than primarily outpatient clinic work, with only a small outpatient volume represented by 99214 (2.8% of Medicare revenue, $3.2K).

    99223 is a clear relative strength: it generates $34.8K (29.8% of Medicare revenue) and the provider ranks #3915 of 139583 providers nationally (97th percentile; notably above typical national volume). This suggests above‑typical activity for initial inpatient encounters compared with national peers, making initial hospital admits a core competitive service line for this clinician.

    The other inpatient follow‑up codes show consistent above‑average national activity but are described as typical in volume: 99233 ranks #8263 of 128818 providers (94th percentile; typical, unremarkable volume) and 99232 ranks #16562 of 177383 providers (91th percentile; typical, unremarkable volume). Collectively these ranks indicate steady inpatient follow‑up workload that, while not dominant nationally, is meaningfully higher than many peers and forms a major portion of revenue.

    Critical care billing (99291) is present but secondary: it accounts for $9.7K (8.3% of Medicare revenue) and ranks #25081 of 71290 providers nationally (64th percentile; typical, unremarkable volume). This pattern is consistent with occasional ICU or high‑acuity management as part of an inpatient infectious disease practice rather than primary critical care specialization.

    Payer and revenue mix show asymmetric scale: with $117.1K in Medicare revenue and no Medicaid billing on file, the provider’s public revenue footprint is modest and concentrated. Given the provider was enumerated on 2014-06-19 (~12 years ago), the lifetime Medicare total of $117.1K indicates limited Medicare billing volume in absolute dollars despite focused service lines.

    Reimbursement per encounter aligns with the code mix: average paid per claim is $124 for 99223, $85 for 99233, and $56 for 99232, reflecting higher payment for initial inpatient evaluations relative to subsequent visits. This spread reinforces that initial inpatient evaluations are both higher‑reimbursement and a major revenue driver for the practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…510$90$43K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…280$120$34.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…470$60$26.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…60$150$9.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40$80$3.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142737,330120$80$16.8K
    9923341,86080$90$13.4K
    9923242,530100$60$13.3K
    992911591040$160$10.6K
    9922332,14040$130$8.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nicolas Bordas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Krishna Chaitanya KeriALNephrology Physician$339.1K$0
    Rameshkumar Athippalayam ChellamuthuALNephrology Physician$272.6K$0
    Etagbo EtaALNephrology Physician$236.8K$0
    Faris Al FarisALCritical Care Medicine (Internal Medicine) Physician$210.3K$0
    William MullinsALAcute Care Nurse Practitioner$43.8K$0
    Spencer WallaceALFamily Nurse Practitioner$23.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Nicolas Bordas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Of Life Health Services IncALCommunity Health Clinic/Center$0$6.6M
    Children And Teen Dental Group Of AlabamaALPediatric Dentistry$0$5.2M
    Gadsden Regional Medical Center LLCALGeneral Acute Care Hospital$0$4.1M
    Elquis CastilloALMedical Oncology Physician$2.5M$0
    Oral Surgery Associates, PCALOral and Maxillofacial Surgery (Dentist)$0$1.2M
    Womens Health Partners LLCALObstetrics & Gynecology Physician$0$1.1M
    Omi Of Gadsden Petct LLCALDiagnostic Radiology Physician$910.5K$0
    Farah Al KhitanALInterventional Cardiology Physician$839.9K$0
    James SmithALOrthopaedic Surgery Physician$251.8K$0
    Bryan McgwierALCardiovascular Disease Physician$230K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Nicolas Bordas — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama