Physician

A. Michael Borkon, MD

According to 2025 Medicare claims, A. Borkon, MD (NPI: 1336190602) practices cardiac surgery in the York-Hanover, PA market, with the plurality of this provider's patient population coming from York, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1104988740; TIN: 23-2730785) and primary practice location at 17403-3676. Borkon is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Borkon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 57 traditional Medicare patients, billed 78 HCPCS/CPT codes, and received $26,807 in Medicare payments. The top billing code was 33361 (Replacement of aortic valve through the skin and femoral artery). 2020 Part D data shows 28 prescription claims across 15 beneficiaries totaling $1,616 in drug costs. Open Payments data shows 1 records totaling $22. 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 $263,774 to $26,807. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,134 to $1,616. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$132K$264K2015 Medicare payment: $263,774 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $236,710 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $220,631 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $161,172 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $129,273 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $122,571 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $88,829 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $52,258 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $47,935 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $26,807 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015251533$263,774
2016256505$236,710
2017260486$220,631
2018180331$161,172
2019168286$129,273
2020152270$122,571
2021136219$88,829
202281140$52,258
202387132$47,935
20245778$26,807

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.1K$4.1K2015 Drug cost: $4,134 (USD; Tot_Drug_Cst)2016 Drug cost: $2,600 (USD; Tot_Drug_Cst)2017 Drug cost: $1,613 (USD; Tot_Drug_Cst)2018 Drug cost: $379 (USD; Tot_Drug_Cst)2019 Drug cost: $896 (USD; Tot_Drug_Cst)2020 Drug cost: $1,616 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201547112$4,134
201654170$2,600
201742118$1,613
20182053$379
20192978$896
20201528$1,616
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
33361Replacement of aortic valve through the skin and femoral artery1111$560
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3030$159

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$22Edwards Lifesciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for A. Michael Borkon, MD?

Tedicare shows public-source Medicare data for A. Michael Borkon, MD (NPI 1336190602), 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 A. Michael Borkon, MD have ACO affiliation data?

A. Michael Borkon, MD is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to A. Michael Borkon, MD?

A. Michael Borkon, MD is linked to WELLSPAN MEDICAL GROUP (billing NPI 1104988740) in the available physician profile data.

Does A. Michael Borkon, MD have Open Payments data?

A. Michael Borkon, MD has 1 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.