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    OpenPayerNPI Medicare & MedicaidMiriam Borden
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    Miriam Borden — Billing Profile & Reimbursement Data

    NPI 1518966571 · Osage Beach, MO · Rheumatology Physician

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    Miriam Borden is a rheumatology physician provider located in Osage Beach, Missouri. This profile covers 8 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
    OrganizationMiriam Borden
    Address1075 Nichols Rd
    CityOsage Beach
    StateMO
    ZIP65065
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 20, 2005

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

    Payer SourceTotal Paid
    Medicare$39.7K
    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.

    8 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…280$50$14.8K
    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…140$70$10.5K
    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$100$6.7K
    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,…180$30$5.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$50$1.2K
    J1030Injection, methylprednisolone acetate, 40 mg40$10$210
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…20$10$140
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…10$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,5538,960100$80$13.9K
    992131,0018,73070$50$7K
    992048234,36030$100$4.8K
    2061061783060$40$4.6K
    992121101,93030$30$2K
    9637278985050$10$860
    J103012924050$10$520
    G201231040$10$370

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lake Regional Health SystemMORural Acute Care Hospital$0$23.7M
    Travis MooreILFamily Medicine Physician$1.2M$15.9K
    Hrishikesh GhanekarILNephrology Physician$445.9K$372.3K
    Adam RafiILInterventional Cardiology Physician$558.8K$168.1K
    Wissam DerianILCardiovascular Disease Physician$527.9K$176.4K
    Mark BryerMORadiation Oncology Physician$638K$0
    Humam FarahMOCritical Care Medicine (Internal Medicine) Physician$624.9K$2.3K
    Reed CopeMORadiation Oncology Physician$572.2K$0
    Jaeyoung YoonMODermatology Physician$461.4K$0
    Sanjeev RavipudiMOInterventional Cardiology Physician$348.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Camden Emergency Group LLCMOEmergency Medicine Physician$0$3.5M
    Lake Regional Imaging Partners, LLCMORadiology Clinic/Center$633.1K$132.3K
    Air Evac Ems, Inc.MOAir Ambulance$545.8K$0
    Muthu KrishnanMOInterventional Cardiology Physician$330.3K$310
    Zubair KhanMOInterventional Cardiology Physician$263.3K$4.2K
    Rachandeep SinghMONephrology Physician$224.4K$0
    Baron AdkinsMODiagnostic Radiology Physician$196.8K$18.5K
    Timothy LischweMOCorneal and Contact Management Optometrist$201.9K$1K
    Amy ButlerMOFamily Nurse Practitioner$187.3K$0
    Walgreen CoMOPharmacy$187K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Miriam Borden — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri