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    OpenPayerNPI Medicare & MedicaidSalvador Borromeo
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    Salvador Borromeo — Billing Profile & Reimbursement Data

    NPI 1669461919 · Las Vegas, NV · Cardiovascular Disease Physician

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    Salvador Borromeo is a cardiovascular disease physician provider located in Las Vegas, Nevada. This profile covers 41 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSalvador Borromeo
    Address801 S Rancho Dr Ste A2
    CityLas Vegas
    StateNV
    ZIP89106
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 19, 2005

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

    Payer SourceTotal Paid
    Medicare$4.3M
    Medicaid$1.4K

    Key Findings

    This provider’s business is overwhelmingly Medicare-driven: total Medicare revenue is $4.3M compared with total Medicaid revenue of $1.4K, so Medicaid represents a vanishingly small share of billed public payers and the practice should be considered effectively single‑payer (Medicare) in scale. The precomputed top‑3 Medicaid codes account for 100.0% of Medicaid revenue, but that amount is only $1.4K in total, underscoring a minimal Medicaid footprint.

    Revenue is highly concentrated in a small number of Medicare codes: the precomputed top‑3 Medicare codes account for 86.8% of this provider’s Medicare revenue, led by Q4248 (40.4%), Q4236 (24.5%), and 36465 (21.9%). This concentration means most of the provider’s Medicare income is tied to amniotic/skin substitute products and a specific vein procedure rather than a broad mix of E/M visits.

    The code mix for the top revenue drivers indicates a clinical focus on wound care using biologic skin products and ambulatory venous interventions: Q4248 (Dermacyte amniotic membrane allograft) and Q4236 (Carepatch) are high‑revenue, product‑based add‑ons, while 36465 is a sclerosing foam procedure for a truncal varicose vein. The prominence of 15271 and 15275 among other billed codes further supports an active wound/skin substitute service line integrated with procedural vein care.

    This provider is a national outlier on several procedure and diagnostic volumes. In particular, 36465 ranks #1 of 989 providers nationally (100th percentile; extreme outlier), indicating far above‑typical national volume for that truncal vein sclerotherapy code; similarly 93971 ranks #86 of 21388 (100th percentile; extreme outlier) for unilateral duplex venous scans and 99308 ranks #405 of 25763 (98th percentile; extreme outlier) for subsequent nursing facility visits, all signaling specialized, high‑volume operational focus in those areas.

    Despite being taxonomically a Cardiovascular Disease Physician, the broader clinical footprint includes high volumes of vascular diagnostics and diverse ancillary testing: notable utilization appears for duplex vascular scans (93971, 93970, 93880), echocardiography (93306), EEG/EEG analysis (95816, 95957), and PET myocardial imaging (78431). This mix suggests a multi‑service practice that couples vascular procedures with in‑office diagnostic imaging and some neurologic testing rather than a narrow, single‑procedure clinic.

    Medicaid activity is limited and low relative to in‑state peers: Medicaid revenue totals $1.4K and the two listed Medicaid codes (99213 and 93010) account for the bulk of that revenue, with 99213 yielding $950 (66.0% of Medicaid revenue) and 93010 yielding $490 (34.0% of Medicaid revenue). Both codes rank at low percentiles in‑state (99213 rank #2254 of 2476, 9th percentile; 93010 rank #154 of 209, 26th percentile), reinforcing that this provider is not a significant Medicaid participant in Nevada.

    There is a clear operational emphasis on post‑acute and facility care given the high billing for nursing facility E/M codes: 99308 (2.9K claims, $163.9K revenue) and additional nursing facility codes (99306, 99309) appear in the top Medicare list, with 99308 described as an extreme outlier nationally. Combined with the product‑driven wound care codes, this pattern suggests established referral pathways from skilled nursing or long‑term care settings into the provider’s wound and venous intervention services.

    This provider has long tenure in the CMS system (NPI enumerated 2005‑10‑19, ~21 years ago), which, paired with concentrated high volumes on niche procedural codes, suggests an established practice model and entrenched referral network focused on wound care products and venous procedures rather than broad primary care or general cardiology visit volume. The longevity supports continuity of the specialized billing patterns documented in the Medicare data.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4248Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)2,070$830$1.7M
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)1,120$940$1M
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…890$1,050$933.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2,930$60$163.9K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…650$100$61.8K
    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…700$60$41K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…130$300$37.8K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…230$130$30.7K
    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…380$70$27.4K
    95957In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.130$220$27.4K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42363102,800$960$2.2M
    Q42481102,070$830$1.7M
    3646511070$1,040$163K
    78431124030$1,050$88.2K
    99309107210250$80$44.9K
    993089210290$50$38.9K
    9935080100100$120$33.9K
    992337361,150150$90$26.8K
    G01813260150$80$24.9K
    93306146250190$90$22.5K

    Showing 1–10 of 41

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 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…30$40$950
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.70$10$490

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,2542,480330$50$107.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.154210200$1$21.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angelica VillahermosaNVFamily Nurse Practitioner$48.6K$0
    Reynante VillahermosaNVFamily Nurse Practitioner$44.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clark County Department Of Family ServicesNVCase Management Agency$0$166.5M
    Shadow Emergency Physicians PLLCNVEmergency Medicine Physician$0$75.2M
    Valley Hospital Medical CenterNVGeneral Acute Care Hospital$0$47M
    Southwest Medical Associates, IncNVDiagnostic Radiology Physician$418.3K$15.8M
    Las Vegas Paiute Tribe Health & Human ServicesNVGeneral Practice Physician$0$13.6M
    Fresenius Medical Care West Sahara, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.2M
    Bridge Counseling Associates, IncNVCommunity/Behavioral Health Agency$0$12.1M
    Iriye Medical Group PLLCNVMaternal & Fetal Medicine Physician$0$11.9M
    Janda, Mahajan & Balsiger PLLCNVNeurology Physician$0$10.5M
    Behavioral Health Institute Inc (singh) PCNVAddiction Medicine (Family Medicine) Physician$0$9.8M

    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. Nevada Distribution
    Salvador Borromeo — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Salvador Borromeo — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada