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NPI 1972504447 · Hinsdale, IL · Anatomic Pathology & Clinical Pathology Physician
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Raphael Borok is a anatomic pathology & clinical pathology physician provider located in Hinsdale, Illinois. This profile covers 20 Medicare and 126 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Raphael Borok |
| Address | 120 N Oak St |
| City | Hinsdale |
| State | IL |
| ZIP | 60521 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.3M |
| Medicare | $153.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88377 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a… | 1,060 | $50 | $51.7K |
| G0452 | Molecular pathology procedure; physician interpretation and report | 1,290 | $30 | $43.9K |
| 85390 | A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation. | 390 | $30 | $10.4K |
| 88363 | A pathologist performs a procedure to examine and select archived, or previously diagnosed, tissue for molecular analysis. | 530 | $20 | $8.5K |
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 610 | $10 | $7.9K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 110 | $70 | $7.2K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 230 | $20 | $5K |
| 86334 | The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor. | 330 | $10 | $4.3K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 120 | $30 | $4K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 90 | $30 | $2.7K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
126 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 3,850 | $60 | $223.3K |
| 0241U | N/A | 2,810 | $80 | $213.7K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 8,870 | $20 | $203.9K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 37,360 | $10 | $186.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 54,770 | $1 | $164.3K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 29,940 | $1 | $119.8K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 26,230 | $1 | $104.9K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 450 | $170 | $77.6K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 2,900 | $20 | $63.9K |
| 87040 | The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,… | 6,460 | $10 | $51.7K |
Showing 1–10 of 126
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
126 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 78 | 350 | 400 | $70 | $514.7K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 40 | 280 | 1,120 | $30 | $218.9K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 115 | 210 | 680 | $20 | $206.4K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 57 | 170 | 150 | $200 | $190.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 110 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 111 | 360 | 630 | $30 | $165K |
| 87390 | The lab analyst performs a test to detect antigens of the human immunodeficiency virus 1, called HIV 1, using an immunoassay technique, such as EIA. | 8 | 10 | 90 | $10 | $101.2K |
| 0241U | N/A | 21 | 260 | 120 | $100 | $91.8K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 110 | 120 | 140 | $40 | $89.7K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 67 | 740 | 960 | $10 | $75.9K |
Showing 1–10 of 126
Other providers in the same ZIP code as Raphael Borok, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Paramjit Chopra | IL | Vascular & Interventional Radiology Physician | $4.7M | $82.9K |
| Joann Hutto | IL | Anatomic Pathology & Clinical Pathology Physician | $177.8K | $2.5M |
| Hinsdale Surgical Center, LLC | IL | Ambulatory Surgical Clinic/Center | $1.2M | $0 |
| Sudarshan Sharma | IL | Gynecologic Oncology Physician | $1.1M | $330 |
| Scott Zahner | IL | MOHS-Micrographic Surgery Physician | $878.4K | $0 |
| Collins Fitzpatrick | IL | Physical Medicine & Rehabilitation Physician | $280.2K | $518.1K |
| Steven Goulder | IL | MOHS-Micrographic Surgery Physician | $749.4K | $0 |
| Farooq Khan | IL | Interventional Pain Medicine Physician | $578.9K | $260 |
| Ghassan Aldurra | IL | Psychiatry Physician | $192.7K | $359.3K |
| Agnieszka Piotrowski | IL | Anatomic Pathology & Clinical Pathology Physician | $52.5K | $473K |
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