Physician

Todd A. Borus, MD

According to 2025 Medicare claims, Todd Borus, MD (NPI: 1700858651) practices orthopedic surgery in the Portland-Vancouver-Hillsboro, OR-WA market, with the plurality of this provider's patient population coming from Clark, WA. This provider's primary affiliated billing organization is NORTHWEST SURGICAL SPECIALISTS, P.C. (NPI: 1730118803; TIN: 910866217) and primary practice location at 98686-2742. Borus is affiliated with the PSW ACO (ACO ID: A5323) and PeaceHealth Direct Contracting LLC (ACO ID: D0152), participating under both the MSSP and REACH models.

Borus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 374 traditional Medicare patients, billed 3,072 HCPCS/CPT codes, and received $221,945 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 777 prescription claims across 263 beneficiaries totaling $5,044 in drug costs, led by Celecoxib (Celecoxib). DME data shows 118 claims. Open Payments data shows 25 records totaling $54,338. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,029 and ending at $5,044. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $17,064 and ending at $29,752.

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$111K$222K2015 Medicare payment: $219,281 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $192,457 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $181,834 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $197,442 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $197,279 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $174,563 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $177,801 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $163,108 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $198,674 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $221,945 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154131,873$219,281
20164271,455$192,457
20174011,393$181,834
20184111,329$197,442
20193631,328$197,279
20203971,275$174,563
20214151,294$177,801
20223521,042$163,108
20233611,522$198,674
20243743,072$221,945

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$3.2K$6.3K2015 Drug cost: $5,029 (USD; Tot_Drug_Cst)2016 Drug cost: $4,668 (USD; Tot_Drug_Cst)2017 Drug cost: $3,338 (USD; Tot_Drug_Cst)2018 Drug cost: $3,938 (USD; Tot_Drug_Cst)2019 Drug cost: $4,405 (USD; Tot_Drug_Cst)2020 Drug cost: $3,363 (USD; Tot_Drug_Cst)2021 Drug cost: $2,822 (USD; Tot_Drug_Cst)2022 Drug cost: $2,025 (USD; Tot_Drug_Cst)2023 Drug cost: $6,338 (USD; Tot_Drug_Cst)2024 Drug cost: $5,044 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015158291$5,029
2016161301$4,668
2017178322$3,338
2018189343$3,938
2019215394$4,405
2020192394$3,363
2021173341$2,822
2022138239$2,025
2023242627$6,338
2024263777$5,044

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$15K$30K2015 Medicare payment: $14,922 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,489 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $16,236 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $19,852 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $18,842 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $13,848 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $15,918 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,814 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $22,276 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $29,716 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20156872$14,922
20165559$14,489
20175860$16,236
20186567$19,852
20198889$18,842
20205052$13,848
20214853$15,918
20222525$11,814
20237385$22,276
2024116118$29,716

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more9295$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more108124$59
73564X-ray of knee, 4 or more views89115$34
73562X-ray of knee, 3 views100123$32
73501X-ray of hip, 1 view8192$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib1251,890$2,202
MupirocinMupirocin881,295$621
CephalexinCephalexin263331$539
Ondansetron OdtOndansetron78235$399
Oxycodone HclOxycodone Hcl49196$251

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0935Continuous passive motion exercise device for use on knee onlyY5456$27,016
E0189Lambswool sheepskin pad, any sizeN5151$2,193
E0143Walker, folding, wheeled, adjustable or fixed heightN1111$506

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.24$54,338Stryker Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.1$105,984Lazurite Inc.

FAQ

What Medicare data is available for Todd A. Borus, MD?

Tedicare shows public-source Medicare data for Todd A. Borus, MD (NPI 1700858651), 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 Todd A. Borus, MD have ACO affiliation data?

Todd A. Borus, MD is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323) and PeaceHealth Direct Contracting LLC (REACH, ACO ID D0152).

What billing organization is linked to Todd A. Borus, MD?

Todd A. Borus, MD is linked to NORTHWEST SURGICAL SPECIALISTS, P.C. (billing NPI 1730118803) in the available physician profile data.

Does Todd A. Borus, MD have Open Payments data?

Todd A. Borus, MD has 25 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.