Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAli Borhan
    Ask Trek AI about this page

    Ali Borhan — Billing Profile & Reimbursement Data

    NPI 1518963024 · Phoenix, AZ · Urology Physician

    Customize your policy alerts

    Sign up for Ali Borhan — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ali Borhan is a urology physician provider located in Phoenix, Arizona. This profile covers 39 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAli Borhan
    Address5133 N Central Ave Ste 206
    CityPhoenix
    StateAZ
    ZIP85012
    TaxonomyUrology Physician
    NPI EnumeratedJune 21, 2005

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

    Payer SourceTotal Paid
    Medicare$438.8K
    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,480$90$125.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…240$180$42.5K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…170$220$36.1K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…10$2,230$24.5K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…30$890$23.1K
    52317The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…110$210$22.8K
    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…200$110$22K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.140$80$11.4K
    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…180$60$10.9K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$520$9.4K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5200027200110$160$22.7K
    52224213020$590$22.5K
    55874192020$930$22.3K
    9921418110,410120$80$20.6K
    5586622020$920$17.4K
    52648112020$820$17.2K
    5224051020$560$12.8K
    5231711020$320$11.9K
    992152,1123,27050$120$11.9K
    50590306020$490$11.4K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthAZGeneral Acute Care Hospital$0$126.1M
    HonorhealthAZGeneral Acute Care Hospital$0$107.2M
    HonorhealthAZGeneral Acute Care Hospital$0$65.7M
    HonorhealthAZGeneral Acute Care Hospital$0$47M
    Sjhmc Physician ServicesAZMulti-Specialty Clinic/Center$0$46.6M
    HonorhealthAZGeneral Acute Care Hospital$0$23.8M
    Honorhealth Medical Group, LLCAZFamily Medicine Physician$0$10.1M
    HonorhealthAZGeneral Acute Care Hospital$0$8M
    HonorhealthAZGeneral Acute Care Hospital$0$7.4M
    Honorhealth AmbulatoryAZCardiovascular Disease Physician$0$6.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain Park Health CenterAZFederally Qualified Health Center (FQHC)$0$351.5M
    The Tungland Company, LLCAZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$332M
    Adelante Healthcare, Inc.AZFederally Qualified Health Center (FQHC)$0$245.5M
    Banner-university Medical GroupAZMulti-Specialty Clinic/Center$0$133.7M
    Prileo Healthcare LLC Dba Prileo Home CareAZIn Home Supportive Care Agency$0$88.8M
    Denova Collaborative Health, LLCAZMulti-Specialty Clinic/Center$0$87.9M
    Southwest Behavioral Health Services IncAZCommunity/Behavioral Health Agency$0$83.5M
    Terros, Inc.AZCommunity/Behavioral Health Agency$0$81.7M
    Accentcare At Home, Inc.AZIn Home Supportive Care Agency$0$65.7M
    Banner Physician Super Specialists Arizona LLCAZMulti-Specialty Clinic/Center$0$36.9M

    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. Arizona Distribution
    Ali Borhan — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona