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 & MedicaidMark Borek
    Ask Trek AI about this page

    Mark Borek — Billing Profile & Reimbursement Data

    NPI 1922012707 · East Setauket, NY · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Mark Borek — 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.

    Mark Borek is a cardiovascular disease physician provider located in East Setauket, New York. This profile covers 15 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 / 7

    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
    OrganizationMark Borek
    Address26 Research Way
    CityEast Setauket
    StateNY
    ZIP11733
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 28, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…440$1,220$536.8K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries880$400$353.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…750$180$133.7K
    J2785Injection, regadenoson, 0.1 mg2,360$40$104K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…210$410$86.7K
    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…540$110$60.4K
    78434The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…410$130$51.7K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…650$60$41.1K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose420$100$39.9K
    93798The provider supervises the patient while the patient exercises and reviews the patient’s diet with him or her. The patient exercises with continuous ECG monitoring.1,130$20$26.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78492340100$1,230$178.4K
    A9555570160$340$86.2K
    933061061,990200$110$30.7K
    784527090060$280$25.8K
    992142,56730,45090$100$19K
    A950029380130$90$15.9K
    J27853490220$40$14.1K
    7843437080$90$12.2K
    93798440250$20$6.6K
    992043,24714,17030$130$6.6K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Steven MontanaNYHematology & Oncology Physician$2.2M$28.3K
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Joseph CirroneNYRadiation Oncology Physician$1.7M$0
    Martin SilversteinNYRadiation Oncology Physician$1.2M$17.5K
    Gurmohan SyaliNYMedical Oncology Physician$1.1M$69.2K
    Emanuel ChryssosNYCardiovascular Disease Physician$1M$30
    Rocco CarusoNYHematology & Oncology Physician$1M$4.6K
    Khurram ChaudharyNYRetina Specialist (Ophthalmology) Physician$910.4K$66.8K
    Chirayu GorNYCardiovascular Disease Physician$838.3K$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 York Distribution
    Mark Borek — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York