Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Borrello (NPI 1265476857)

Field	Value
Entity Type	Individual
Organization	Michael Borrello
Address	1255 Liberty St
City	Redding
State	CA
ZIP	96001
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$153.7K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute scale with Total Medicare revenue of $153.7K and no Medicaid billing on file (none below), making the practice effectively single‑payer at least in the public programs represented here. The absence of any Medicaid claims suggests limited exposure to state program revenue and a concentrated reliance on Medicare for public-payer income.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 51.8% of this provider’s total Medicare revenue. Those top three codes are 99213 ($48.9K, 31.8% of total Medicare revenue), 64483 ($17.9K, 11.6%), and 99204 ($13K, 8.4%), indicating that a small set of services drives the majority of billed Medicare dollars.

The code mix (high volumes of 99213, and multiple spine and facet injection/denervation codes such as 64483, 64635, 62323, 27096, 64493) is consistent with an interventional pain medicine practice that combines office-based evaluation and management with image-guided spinal injections and facet neurolytic procedures. High relative volume of 99213 alongside many procedure codes suggests a workflow that pairs repeated follow-up office visits with recurring procedural interventions.

Competitive standing is uneven across services: 99213 ranks #11460 of 457151 providers nationally (97th percentile; notably above typical national volume for this code), indicating unusually high national-level volume for established patient visits. Procedural codes show mixed positions — 64483 ranks #1077 of 8202 (87th percentile; typical, unremarkable volume) while 27096 ranks #256 of 5443 (95th percentile; notably above typical national volume) — together this shows above-average penetration on select injections but otherwise typical procedural volumes.

Several common interventional codes are described as "typical, unremarkable volume" in the reference data (for example 64483, 99204, 64635, 62323, 64493), meaning that while the provider performs a broad set of expected pain procedures, most of those services fall within ordinary national activity levels. The presence of a few codes labeled "notably above typical national volume" (notably 99213 and 27096) defines the provider’s distinctive strengths rather than wholesale outsized procedural throughput.

The provider’s NPI was enumerated on 2006-06-15 (~20 years ago), indicating an established practice tenure; this longevity aligns with the observed steady mix of evaluation-and-management visits plus repeat interventional pain procedures. Long tenure can explain consistent office visit volume and recurring procedural care patterns reflected in the claims.

Operational and revenue risk is concentrated: dependence on Medicare only (Total Medicare revenue $153.7K; no Medicaid) combined with the fact that the top 3 codes account for 51.8% of Medicare revenue suggests sensitivity to reimbursement changes or utilization reviews that affect those specific codes. From a payer or network contracting perspective, changes affecting 99213, 64483, or 99204 could disproportionately impact the provider’s public-payer revenue.

Pharmacologic supply billing appears negligible in Medicare revenue: J1100 is reported with 135 claims but $0 avg paid/claim and $0 revenue in the Medicare data, indicating the provider’s reported public‑payer revenue is driven by visits and procedures rather than drug reimbursement on file. This aligns with a procedure-focused interventional pain profile where per‑claim Medicare drug payments do not meaningfully contribute to total public-payer revenue.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	780	$60	$48.9K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	200	$90	$17.9K
99204	The provider sees a new 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 provider…	110	$120	$13K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	60	$210	$12.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	150	$70	$10.6K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	140	$70	$10K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	100	$90	$8.2K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	60	$90	$5.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	250	$20	$4.8K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	90	$50	$4.5K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Michael Borrello — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64483	1	790	60	$240	$28.5K
64635	1	480	40	$460	$26.3K
64493	2	670	50	$220	$18.8K
64633	1	180	20	$480	$15.2K
62323	2	600	40	$180	$13.5K
99213	10	34,660	80	$70	$13.2K
64490	1	340	30	$240	$11.7K
62321	2	390	30	$190	$8K
99204	18	19,360	40	$120	$7.2K
20610	50	2,790	50	$50	$6K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farzad Sabet	CA	Physical Medicine & Rehabilitation Physician	$895.3K	$0
Eric Jenkinson	CA	Pediatric Sports Medicine Physician	$863.2K	$0
Forrest Monroe	CA	Pain Medicine (Anesthesiology) Physician	$712K	$0
Tony Chang	CA	Sports Medicine (Family Medicine) Physician	$615.4K	$0
Troy Miles	CA	Orthopaedic Surgery Physician	$406K	$0
Matthew Paul	TX	Sports Medicine (Orthopaedic Surgery) Physician	$297.5K	$0
David Jones	SC	Orthopaedic Surgery Physician	$277K	$0
Stephen Ferraro	CA	Orthopaedic Hand Surgery Physician	$274.5K	$0
Jason Nowak	CA	Foot & Ankle Surgery Podiatrist	$253.9K	$0
Jack Schillen	CA	Orthopaedic Surgery Physician	$192.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shasta Community Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$131.9M
County Of Shasta	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.5M
Dignity Health	CA	General Acute Care Hospital	$0	$92.2M
Redding Rancheria	CA	Federally Qualified Health Center (FQHC)	$0	$62.2M
Shasta County Alcohol And Drug Programs	CA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$34.5M
Prime Healthcare Services - Shasta LLC	CA	General Acute Care Hospital	$0	$22.7M
Mohamed Khan	CA	Interventional Cardiology Physician	$5.5M	$0
Michael Sumsion	CA	Ophthalmology Physician	$3.1M	$778.7K
Redding Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.5M	$2.1M
Gastroenterology Associates Endoscopy Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.7M	$1.8M

Michael Borrello — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References