Active NPI 1073571063 Individual Practitioner Male Practitioner

Dr. Manuel Rafael Bornia , MD

Internal Medicine • Atlantis, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Manuel Bornia, MD is a certified Internal Medicine practicing in Atlantis, FL. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Bornia delivers high-quality medical care to the local community at 180 JFK DR STE 260.

Dr. Bornia accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 Jfk Dr Ste 260

Atlantis, FL 334626642

Telephone 5614394480

Fax 5616416626

Associated Practice Facility / Clinic

🏢 Palm Springs Internal Medicine Facility NPI 1851475016

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Atlantis, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +28.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

78 Specialists

Practicing in Atlantis, FL (10650 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bornia (48 Years) 48 Yrs

Atlantis Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	54	$302.00	$182.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	46	$250.00	$128.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	49	$58.56	$57.05
99497 Advance care planning, first 30 minutes	46	46	$95.00	$82.60
G0444 Annual depression screening, 5 to 15 minutes	46	46	$20.00	$18.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$240.00	$130.33
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$94.00	$14.56
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$200.00	$91.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	61	$250.00	$130.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	57	$302.00	$182.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	47	$58.31	$57.48
G0444 Annual depression screening, 5 to 15 minutes	49	49	$20.00	$18.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$240.00	$130.71
99497 Advance care planning, first 30 minutes	43	43	$95.00	$84.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	78	$250.00	$131.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	54	$302.00	$187.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$240.00	$133.98
G0444 Annual depression screening, 5 to 15 minutes	62	62	$20.00	$18.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	54	$55.00	$53.85
99497 Advance care planning, first 30 minutes	58	57	$95.00	$86.88
99213 Established patient office or other outpatient visit, typically 15 minutes	34	23	$200.00	$92.79
99496 Transitional care management services for problem of high complexity	14	12	$300.00	$286.67
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$94.00	$15.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	459	96	$250.00	$134.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	49	$302.00	$189.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$240.00	$137.60
G0444 Annual depression screening, 5 to 15 minutes	70	70	$20.00	$19.15
99497 Advance care planning, first 30 minutes	64	64	$95.00	$88.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	59	$55.00	$54.73
99213 Established patient office or other outpatient visit, typically 15 minutes	47	32	$200.00	$94.47
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$94.00	$15.61
99496 Transitional care management services for problem of high complexity	21	16	$300.00	$288.63
91301 Sarscov2 vac 100mcg/0.5ml im	17	16	$0.04	$0.01
0013A Adm sarscov2 100mcg/0.5ml3rd	13	12	$40.00	$40.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	107	$248.96	$114.39
G0444 Annual depression screening, 5 to 15 minutes	89	89	$20.00	$19.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	54	$302.00	$154.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$240.00	$121.81
99213 Established patient office or other outpatient visit, typically 15 minutes	55	37	$200.00	$79.35
G0442 Annual alcohol misuse screening, 5 to 15 minutes	34	34	$20.00	$18.80
93000 Routine ekg using at least 12 leads including interpretation and report	29	25	$94.00	$18.13
94640 Inhalation treatment for airway obstruction or sputum production	26	20	$31.25	$18.54
96377 Application of on-body injector for under skin injection	19	14	$20.00	$20.17
99496 Transitional care management services for problem of high complexity	14	12	$300.00	$250.18
J1040 Injection, methylprednisolone acetate, 80 mg	14	12	$43.75	$11.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	729	131	$226.00	$113.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$240.00	$121.17
G0444 Annual depression screening, 5 to 15 minutes	84	84	$20.00	$18.71
94640 Inhalation treatment for airway obstruction or sputum production	77	46	$31.25	$18.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	48	$302.00	$152.24
93000 Routine ekg using at least 12 leads including interpretation and report	53	51	$94.00	$17.94
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$153.00	$77.47
J1040 Injection, methylprednisolone acetate, 80 mg	24	21	$43.75	$12.30
99496 Transitional care management services for problem of high complexity	20	16	$300.00	$241.11
94010 Test to measure expiratory airflow and volume	18	16	$45.00	$36.81
20610 Aspiration and/or injection of fluid from large joint	16	14	$192.50	$67.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes	14	14	$10.01	$9.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	984	143	$226.00	$111.23
94640 Inhalation treatment for airway obstruction or sputum production	140	56	$31.25	$19.30
G0444 Annual depression screening, 5 to 15 minutes	115	115	$20.00	$18.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$240.00	$120.31
99213 Established patient office or other outpatient visit, typically 15 minutes	66	41	$153.00	$75.42
93000 Routine ekg using at least 12 leads including interpretation and report	59	58	$94.00	$17.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	46	46	$0.01	$0.01
J1040 Injection, methylprednisolone acetate, 80 mg	42	30	$43.75	$13.03
94010 Test to measure expiratory airflow and volume	31	24	$45.00	$37.07
20610 Aspiration and/or injection of fluid from large joint	28	19	$192.50	$64.70
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	27	27	$27.17	$26.63
99496 Transitional care management services for problem of high complexity	25	19	$300.00	$239.79
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$278.00	$64.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$350.00	$216.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	906	13	$15.00	$7.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	790	145	$226.00	$110.83
99213 Established patient office or other outpatient visit, typically 15 minutes	141	75	$153.00	$75.40
94640 Inhalation treatment for airway obstruction or sputum production	130	60	$31.25	$19.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$240.00	$119.26
G0444 Annual depression screening, 5 to 15 minutes	88	88	$20.00	$18.44
93000 Routine ekg using at least 12 leads including interpretation and report	57	53	$94.00	$17.71
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	49	49	$27.17	$26.63
99496 Transitional care management services for problem of high complexity	29	24	$300.00	$237.85
J1040 Injection, methylprednisolone acetate, 80 mg	23	16	$43.75	$11.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$350.00	$215.94
G0442 Annual alcohol misuse screening, 5 to 15 minutes	21	21	$0.01	$0.01
20610 Aspiration and/or injection of fluid from large joint	18	14	$192.50	$64.54
94010 Test to measure expiratory airflow and volume	14	14	$45.00	$36.85
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	11	11	$278.00	$68.30

Medical Specialties & State Licenses

CMS Verified: 2022-10-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME47911

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME47911

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

024429200 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 05, 2018

Registered at 180 JFK DR STE 260, ATLANTIS, FL 334626642 (Tel: 5614394480)

📍

Updated Business Mailing Address April 05, 2018

Registered at 180 JFK DR STE 260, ATLANTIS, FL 334626642 (Tel: 5614394480)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL 334614706 (Tel: 5614394480)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL 334614706 (Tel: 5614394480)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MANUEL BORNIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ME47911 in FL)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073571063

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: October 17, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

180 Jfk Dr Ste 260

Atlantis, FL 334626642

Phone: 5614394480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.