Physician

Sam Joseph Borrelli, M.D.

According to 2025 Medicare claims, Sam Borrelli, M.D. (NPI: 1114028743) practices family practice in the Elkhart-Goshen, IN market, with the plurality of this provider's patient population coming from Elkhart, IN. This provider's primary affiliated billing organization is BEACON MEDICAL GROUP, INC. (NPI: 1689691297; TIN: 350877574) and primary practice location at 46526-5858. Borrelli is affiliated with the CHA ACO, LLC (ACO ID: A2207) and PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Borrelli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 488 traditional Medicare patients, billed 11,086 HCPCS/CPT codes, and received $216,081 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 13,239 prescription claims across 939 beneficiaries totaling $892,333 in drug costs, led by Jardiance (Empagliflozin). DME data shows 171 claims. Open Payments data shows 2 records totaling $47. 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 risen steadily, from $136,416 to $216,081. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $21,612 and ending at $21,118.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	669	5,368	$136,416
2016	667	4,782	$122,273
2017	680	9,450	$185,578
2018	678	11,795	$204,926
2019	654	9,280	$203,091
2020	613	9,014	$179,653
2021	595	8,710	$206,786
2022	532	8,068	$194,026
2023	511	8,068	$207,789
2024	488	11,086	$216,081

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	803	12,008	$776,638
2016	844	14,024	$941,075
2017	802	12,878	$826,751
2018	817	12,734	$775,995
2019	812	12,224	$835,314
2020	835	12,229	$785,647
2021	862	11,702	$730,116
2022	846	11,888	$777,711
2023	901	12,267	$815,956
2024	939	13,239	$892,333

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	61	257	$12,214
2016	76	461	$11,597
2017	76	478	$10,664
2018	65	460	$13,383
2019	65	465	$13,824
2020	41	352	$11,263
2021	31	287	$12,547
2022	23	234	$15,259
2023	247	511	$1,310,446
2024	N/R	171	$16,728

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	312	312	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	608	$77
80061	Blood test, lipids (cholesterol and triglycerides)	319	371	$13
36415	Insertion of needle into vein for collection of blood sample	400	790	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	338	457	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	99	6,395	$120,104
Eliquis	Apixaban	94	3,942	$76,551
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	66	2,520	$54,105
Ozempic	Semaglutide	46	1,472	$49,128
Xarelto	Rivaroxaban	55	2,220	$43,752

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	44	$13,260
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	35	$2,213
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	22	$508
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	11	$259
K0001	Standard wheelchair	Y	N/R	15	$230

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$47	ABBVIE 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 Sam Joseph Borrelli, M.D.?

Tedicare shows public-source Medicare data for Sam Joseph Borrelli, M.D. (NPI 1114028743), 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 Sam Joseph Borrelli, M.D. have ACO affiliation data?

Sam Joseph Borrelli, M.D. is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207) and PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533).

What billing organization is linked to Sam Joseph Borrelli, M.D.?

Sam Joseph Borrelli, M.D. is linked to BEACON MEDICAL GROUP, INC. (billing NPI 1689691297) in the available physician profile data.

Does Sam Joseph Borrelli, M.D. have Open Payments data?

Sam Joseph Borrelli, M.D. has 2 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.