Physician

Anne Borja

According to 2025 Medicare claims, Anne Borja (NPI: 1891144424) practices endocrinology in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Lehigh, PA. This provider's primary affiliated billing organization is LEHIGH VALLEY PHYSICIAN GROUP (NPI: 1013081876; TIN: 232700908) and primary practice location at 18103-6268. Borja is affiliated with the Lehigh Valley Health Network Accountable Care Organization, LLC (ACO ID: A2735), participating under the MSSP model.

Borja's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 407 traditional Medicare patients, billed 1,341 HCPCS/CPT codes, and received $66,241 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 2,491 prescription claims across 367 beneficiaries totaling $1,074,167 in drug costs, led by Ozempic (Semaglutide). DME data shows 281 claims. No Open Payments records. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $5,044 to $1,074,167. 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$33K$66K2021 Medicare payment: $12,511 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $52,094 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $63,165 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $66,241 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
202196184$12,511
2022323977$52,094
20233341,762$63,165
20244071,341$66,241

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$636K$1.3M2017 Drug cost: $5,044 (USD; Tot_Drug_Cst)2018 Drug cost: $5,169 (USD; Tot_Drug_Cst)2019 Drug cost: $6,910 (USD; Tot_Drug_Cst)2020 Drug cost: $9,335 (USD; Tot_Drug_Cst)2021 Drug cost: $35,387 (USD; Tot_Drug_Cst)2022 Drug cost: $665,882 (USD; Tot_Drug_Cst)2023 Drug cost: $1,272,486 (USD; Tot_Drug_Cst)2024 Drug cost: $1,074,167 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20174060$5,044
201830112$5,169
201925106$6,910
2020N/R32$9,335
20214890$35,387
20222451,091$665,882
20233271,941$1,272,486
20243672,491$1,074,167

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$35K$71K2022 Medicare payment: $24,514 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $41,195 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $70,970 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202248162$24,514
202346228$41,195
202483281$70,970

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5656$101
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes117127$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more163242$85
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes112242$54
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's126164$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1636,722$215,799
TrulicityDulaglutide1295,404$183,683
JardianceEmpagliflozin534,010$78,922
Humulin R U-500 KwikpenInsulin Regular, Human321,316$57,388
JanuviaSitagliptin Phosphate442,760$48,269

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN2890$41,213
A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R16$7,585
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsNN/R17$6,978
E0784External ambulatory infusion pump, insulinYN/R15$5,015
A4224Supplies for maintenance of insulin infusion catheter, per weekNN/R22$4,855

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Anne Borja?

Tedicare shows public-source Medicare data for Anne Borja (NPI 1891144424), 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 Anne Borja have ACO affiliation data?

Anne Borja is shown with ACO affiliation data for Lehigh Valley Health Network Accountable Care Organization, LLC (MSSP, ACO ID A2735).

What billing organization is linked to Anne Borja?

Anne Borja is linked to LEHIGH VALLEY PHYSICIAN GROUP (billing NPI 1013081876) in the available physician profile data.

Does Anne Borja have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.