Physician

Matthew Borkon, MD

According to 2025 Medicare claims, Matthew Borkon, MD (NPI: 1972650778) practices vascular surgery in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is VALLEY PHYSICIAN ENTERPRISE, INC (NPI: 1538316203; TIN: 262767279) and primary practice location at 22601-2808. Borkon is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Borkon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 874 traditional Medicare patients, billed 1,630 HCPCS/CPT codes, and received $171,590 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 323 prescription claims across 91 beneficiaries totaling $19,479 in drug costs, led by Eliquis (Apixaban). 2020 DME data shows 18 claims. Open Payments data shows 22 records totaling $916. 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 risen steadily, from $2,607 to $19,479. For DME billing, reported payments did not follow a clear longitudinal pattern.

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$121K$242K2015 Medicare payment: $207,076 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $163,828 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $158,292 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $184,070 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $196,802 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $188,784 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $192,287 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $172,651 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $242,196 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $171,590 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152602,130$207,076
20163301,391$163,828
20176211,511$158,292
20188672,130$184,070
20199942,038$196,802
20208901,773$188,784
20218041,537$192,287
20228361,480$172,651
20239822,170$242,196
20248741,630$171,590

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$10K$20K2015 Drug cost: $2,607 (USD; Tot_Drug_Cst)2016 Drug cost: $4,510 (USD; Tot_Drug_Cst)2017 Drug cost: $7,009 (USD; Tot_Drug_Cst)2018 Drug cost: $8,314 (USD; Tot_Drug_Cst)2019 Drug cost: $14,813 (USD; Tot_Drug_Cst)2020 Drug cost: $13,410 (USD; Tot_Drug_Cst)2021 Drug cost: $20,010 (USD; Tot_Drug_Cst)2022 Drug cost: $19,311 (USD; Tot_Drug_Cst)2023 Drug cost: $16,866 (USD; Tot_Drug_Cst)2024 Drug cost: $19,479 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201560137$2,607
201668182$4,510
201748133$7,009
201851187$8,314
201968225$14,813
202072237$13,410
202171295$20,010
202275291$19,311
202385337$16,866
202491323$19,479

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$20K$40K2015 Medicare payment: $10,630 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $40,296 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,024 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $444 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R12$10,630
2016119145$40,296
2017N/R11$6,024
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R18$444
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 more7893$93
93925Ultrasound of leg arteries or artery grafts169174$79
93880Ultrasound of both sides of head and neck blood flow183188$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more206224$62
93970Ultrasound study of arm or leg veins with compression and maneuvers8586$34

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban24850$16,081
ClopidogrelClopidogrel Bisulfate19411,760$1,202
Atorvastatin CalciumAtorvastatin Calcium723,711$403
MethylprednisoloneMethylprednisolone1319$59

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.22$916Medtronic, Inc.
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 Matthew Borkon, MD?

Tedicare shows public-source Medicare data for Matthew Borkon, MD (NPI 1972650778), 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 Matthew Borkon, MD have ACO affiliation data?

Matthew Borkon, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Matthew Borkon, MD?

Matthew Borkon, MD is linked to VALLEY PHYSICIAN ENTERPRISE, INC (billing NPI 1538316203) in the available physician profile data.

Does Matthew Borkon, MD have Open Payments data?

Matthew Borkon, MD has 22 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.