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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Hilborn
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    Mark Hilborn — Billing Profile & Reimbursement Data

    NPI 1750380457 · Fort Myers, FL · Diagnostic Radiology Physician

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    Mark Hilborn is a diagnostic radiology physician provider located in Fort Myers, Florida. This profile covers 106 Medicare and 1 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
    OrganizationMark Hilborn
    Address13813 Metro Pkwy
    CityFort Myers
    StateFL
    ZIP33912
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 15, 2005

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$190

    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.

    106 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,110$130$140.5K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.740$100$74.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,110$50$58.7K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.390$140$55.2K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…180$250$43.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,710$20$39.2K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…130$280$35.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.180$150$26.2K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.110$240$25.8K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.90$270$24K

    Showing 1–10 of 106

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 106 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    106 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7706796960170$90$36.4K
    7706395910170$40$17.3K
    741777041,480100$100$14.4K
    7219724033040$190$13.5K
    7055310376040$150$12.5K
    741839750040$190$11.9K
    721481701,09050$110$11.4K
    7372112466040$120$10.6K
    7664115542060$70$9.7K
    7322116553040$120$9.1K

    Showing 1–10 of 106

    • More pages

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$10$180

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…585610690$10$41K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pareena BilkooFLInterventional Cardiology Physician$2.9M$0
    Joy Pollard-stoiberAZFamily Nurse Practitioner$2.2M$0
    Lisa CampbellTXFamily Nurse Practitioner$1.9M$0
    Juan BustilloFLRheumatology Physician$1.5M$0
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Aleksandra GranathFLRheumatology Physician$1.3M$0
    Ricardo MartinezFLInterventional Cardiology Physician$1.3M$0
    Michael ClarkFLDiagnostic Radiology Physician$1.2M$0
    Benjamin HarrisPADiagnostic Radiology Physician$527.8K$504.9K
    Paul RatcliffFLDiagnostic Radiology Physician$906.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neogenomics Laboratories IncFLClinical Medical Laboratory$20.9M$2.3M
    Vip America Of Southwest Florida, LLCFLAttendant Care Provider$0$11.4M
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$11.1M
    Island Coast PediatricsFLPediatrics Physician$0$9.9M
    Paul RaskauskasFLRetina Specialist (Ophthalmology) Physician$5.2M$0
    St Marks Surgical Center LLCFLAmbulatory Surgical Clinic/Center$3.3M$0
    Avtar GhumanFLRetina Specialist (Ophthalmology) Physician$3.3M$0
    Yamil Fourzali SabbagFLNuclear Medicine Physician$2.4M$0
    Nisha WarrierFLOphthalmology Physician$2.2M$0
    Katrina MearsFLRetina Specialist (Ophthalmology) Physician$2M$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. Florida Distribution
    Mark Hilborn — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Mark Hilborn — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida