Physician

Mary Borses, M.D.

According to 2025 Medicare claims, Mary Borses, M.D. (NPI: 1164513297) practices cardiology in the Santa Rosa-Petaluma, CA market, with the plurality of this provider's patient population coming from Sonoma, CA. This provider's primary affiliated billing organization is PROVIDENCE MEDICAL FOUNDATION (NPI: 1740584473; TIN: 330185031) and primary practice location at 94954-2390. Borses is affiliated with the Health Connect Partners, LLC (ACO ID: A2342), participating under the MSSP model.

Borses' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,054 traditional Medicare patients, billed 4,535 HCPCS/CPT codes, and received $348,919 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 3,852 prescription claims across 543 beneficiaries totaling $803,486 in drug costs, led by Eliquis (Apixaban). DME data shows 12 claims. Open Payments data shows 34 records totaling $679. 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 moved from a lower plateau to a higher plateau, from $98,969 to $348,919. Similarly, Part D prescription costs have risen steadily, from $49,784 to $803,486. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $30,459 to $6,229.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,145	2,821	$98,969
2016	2,041	4,786	$153,506
2017	2,001	4,660	$159,125
2018	1,179	2,886	$109,264
2019	234	1,783	$114,045
2020	224	1,526	$103,039
2021	712	2,109	$171,119
2022	1,022	3,316	$229,749
2023	912	4,006	$264,758
2024	1,054	4,535	$348,919

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	148	709	$49,784
2016	204	1,519	$138,388
2017	234	1,891	$189,531
2018	247	1,991	$189,634
2019	162	668	$72,765
2020	79	655	$99,339
2021	179	839	$117,726
2022	341	1,811	$323,409
2023	489	3,341	$688,166
2024	543	3,852	$803,486

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	14	$29,672
2018	N/R	13	$25,411
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	36	$2,575
2024	N/R	12	$841

* / # = 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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	461	479	$146
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	580	1,136	$144
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	370	$107
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	451	503	$12
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	251	304	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	243	18,025	$350,569
Jardiance	Empagliflozin	84	6,198	$118,306
Xarelto	Rivaroxaban	67	5,830	$105,797
Entresto	Sacubitril/Valsartan	43	3,390	$71,255
Repatha Sureclick	Evolocumab	46	3,416	$66,692

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$841

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	34	$679	Amgen 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 Mary Borses, M.D.?

Tedicare shows public-source Medicare data for Mary Borses, M.D. (NPI 1164513297), 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 Mary Borses, M.D. have ACO affiliation data?

Mary Borses, M.D. is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342).

What billing organization is linked to Mary Borses, M.D.?

Mary Borses, M.D. is linked to PROVIDENCE MEDICAL FOUNDATION (billing NPI 1740584473) in the available physician profile data.

Does Mary Borses, M.D. have Open Payments data?

Mary Borses, M.D. has 34 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.