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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Borkowski
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    Douglas Borkowski — Billing Profile & Reimbursement Data

    NPI 1285769851 · Wayne, NJ · General Practice Physician

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    Douglas Borkowski is a general practice physician provider located in Wayne, New Jersey. This profile covers 12 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
    OrganizationDouglas Borkowski
    Address504 Valley Rd
    CityWayne
    StateNJ
    ZIP07470
    TaxonomyGeneral Practice Physician
    NPI EnumeratedFebruary 22, 2007

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

    Payer SourceTotal Paid
    Medicare$95K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…350$70$25.9K
    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…190$110$21.3K
    99203The provider sees a new 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 provider…150$100$15K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…330$40$13.4K
    99204The 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…70$140$10.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.280$10$2.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.130$20$2.1K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.120$20$1.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$50$1.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…80$10$640

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025433750120$10$24.2K
    992145,46413,640130$90$23.6K
    992132,25514,090100$70$13.1K
    364155512,200110$10$11.1K
    992041,4947,16040$130$6.5K
    992033425,66040$80$4.8K
    992121,5313,45040$40$3.6K
    87811230030$40$2.1K
    963721,3131,33060$10$1.3K
    878043362040$20$950

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jersey Irish MedicalNJUrgent Care Clinic/Center$0$25.9M
    Sean BryanPASports Medicine (Family Medicine) Physician$485.4K$0
    Arthur PecoraNJEmergency Medicine Physician$143.4K$0
    Atif SaleemiNJFamily Medicine Physician$93.7K$0
    Kelly St. MarieNJFamily Nurse Practitioner$85.9K$0
    Zhen ZhangNJFamily Medicine Physician$67.1K$0
    Anthony ChampionNJPhysician Assistant$57.3K$0
    Jasen SoodNJFamily Medicine Physician$47.6K$0
    Melissa AmsellemNJPhysician Assistant$37.5K$0
    Brian GasparNJFamily Nurse Practitioner$35.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Circle Of Care For Families & Children, Inc.NJCase Management Agency$0$60.3M
    Podiatry Center Of New Jersey, LLCNJPodiatric Clinic/Center$0$57.1M
    Visiting Homemaker Service Of Passaic CountyNJHome Health Agency$0$13.1M
    Basic Home Infusion, LLCNJHome Infusion Therapy Pharmacy$0$11.6M
    Pulse Medical TransportationNJAmbulance$2.6M$4M
    Jonathan GreenbergNJOphthalmology Physician$2.6M$0
    Valley Medical Transportation, LLCNJNon-emergency Medical Transport (VAN)$1.3M$396K
    Michael SakowitzNJPsychologist$24.2K$1.1M
    Wayne Surgical Center LLCNJAmbulatory Surgical Clinic/Center$667.5K$0
    William GrellaNJInternal Medicine Physician$664.1K$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. New Jersey Distribution
    Douglas Borkowski — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey