Physician

Amanda Borham, M.D.

According to 2025 Medicare claims, Amanda Borham, M.D. (NPI: 1013184001) practices rheumatology in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Middlesex, NJ. This provider's primary affiliated billing organization is RHEUMATOLOGY CENTER OF NEW JERSEY INC. (NPI: 1669796272; TIN: 27-2185943) and primary practice location at 08831-1865.

Borham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 122 traditional Medicare patients, billed 818 HCPCS/CPT codes, and received $30,893 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 533 prescription claims across 144 beneficiaries totaling $414,326 in drug costs, led by Enbrel Sureclick (Etanercept). 2022 DME data shows 11 claims. Open Payments data shows 99 records totaling $2,539. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $92,535 to $30,893. Similarly, Part D prescription costs have fallen sharply in recent years, from $628,202 to $414,326. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	198	6,469	$92,535
2016	192	4,133	$81,562
2017	206	6,457	$83,977
2018	186	5,351	$82,424
2019	170	1,731	$54,506
2020	148	4,156	$70,426
2021	174	2,237	$61,051
2022	236	2,077	$65,472
2023	124	584	$31,255
2024	122	818	$30,893

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	148	1,006	$628,202
2016	143	1,104	$723,195
2017	143	995	$805,036
2018	158	1,149	$902,105
2019	162	1,153	$1,077,812
2020	158	1,028	$1,233,358
2021	196	779	$855,396
2022	120	493	$365,110
2023	129	482	$427,486
2024	144	533	$414,326

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$666
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$133
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	215	$103

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	17	812	$215,218
Simponi	Golimumab	18	560	$130,274
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	98	7,848	$5,579
Methotrexate	Methotrexate Sodium	102	7,382	$2,667
Leflunomide	Leflunomide	12	780	$1,057

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	99	$2,539	Janssen Biotech, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Amanda Borham, M.D.?

Tedicare shows public-source Medicare data for Amanda Borham, M.D. (NPI 1013184001), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Amanda Borham, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Amanda Borham, M.D.?

Amanda Borham, M.D. is linked to RHEUMATOLOGY CENTER OF NEW JERSEY INC. (billing NPI 1669796272) in the available physician profile data.

Does Amanda Borham, M.D. have Open Payments data?

Amanda Borham, M.D. has 99 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.