Active NPI 1255320693 Individual Practitioner Male Practitioner

Dr. Francisco J Borja , MD

Orthopaedic Surgery • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Francisco Borja, MD is a certified Orthopaedic Surgery practicing in Miami, FL. With approximately 53 years of clinical experience since completing medical education in 1973, Dr. Borja delivers high-quality medical care to the local community at 8940 N KENDALL DR STE 601E.

Dr. Borja is affiliated with Baptist Health Medical Group Orthopedics, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of knee, 3 views, x-ray of knee, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8940 N Kendall Dr Ste 601e

Miami, FL 331762150

Telephone 7865968020

Fax 7865339358

Associated Practice Facility / Clinic

🏢 Baptist Health Medical Group Orthopedics, Llc Facility NPI 1386333144

Medicare Profile & Education

Medical School

Other

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +27.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

99 Specialists

Practicing in Miami, FL (1597 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borja (53 Years) 53 Yrs

Miami Specialty Average (25.5 Years) 25.5 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
73562 X-ray of knee, 3 views	102	75	$169.00	$42.06
73564 X-ray of knee, 4 or more views	92	86	$194.00	$47.81
99213 Established patient office or other outpatient visit, typically 15 minutes	74	68	$382.00	$94.18
27447 Replacement of knee joint, both sides of knee	36	33	$5893.00	$1463.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$538.00	$129.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$476.00	$118.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$712.00	$177.40
72170 X-ray of pelvis, 1-2 views	19	18	$116.00	$28.98
73560 X-ray of knee, 1-2 views	14	14	$142.00	$35.27
73502 X-ray of hip, 2-3 views	14	12	$195.00	$45.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	105	99	$193.00	$48.32
73562 X-ray of knee, 3 views	104	80	$169.00	$41.82
99213 Established patient office or other outpatient visit, typically 15 minutes	70	63	$379.00	$94.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$481.00	$121.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$536.00	$132.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	11	$5.00	$1.06
27447 Replacement of knee joint, both sides of knee	46	43	$5933.00	$1496.74
73560 X-ray of knee, 1-2 views	31	30	$143.00	$35.15
73502 X-ray of hip, 2-3 views	16	15	$194.00	$46.08
20610 Aspiration and/or injection of fluid from large joint	12	11	$283.00	$68.75
72170 X-ray of pelvis, 1-2 views	12	12	$117.00	$29.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	109	101	$199.00	$49.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	89	$552.00	$135.30
73562 X-ray of knee, 3 views	83	69	$177.00	$43.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	13	$5.00	$1.15
27447 Replacement of knee joint, both sides of knee	46	45	$6205.00	$1508.72
73502 X-ray of hip, 2-3 views	36	31	$202.00	$48.65
73560 X-ray of knee, 1-2 views	31	27	$148.00	$36.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$499.00	$123.72
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$395.00	$97.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$739.00	$182.03
20610 Aspiration and/or injection of fluid from large joint	14	13	$296.00	$73.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	127	118	$183.00	$48.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	100	$523.00	$138.83
73562 X-ray of knee, 3 views	106	74	$162.00	$42.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	15	$5.00	$1.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$458.00	$123.49
27447 Replacement of knee joint, both sides of knee	40	38	$5785.00	$1595.48
73502 X-ray of hip, 2-3 views	30	30	$187.00	$49.49
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$370.00	$99.15
20610 Aspiration and/or injection of fluid from large joint	17	16	$272.00	$73.76
72170 X-ray of pelvis, 1-2 views	11	11	$113.00	$27.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	126	120	$186.00	$46.49
73562 X-ray of knee, 3 views	108	80	$167.00	$41.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	81	$468.54	$115.61
99213 Established patient office or other outpatient visit, typically 15 minutes	70	69	$326.00	$80.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$471.00	$118.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	14	$5.00	$1.43
72170 X-ray of pelvis, 1-2 views	56	55	$122.00	$29.03
27447 Replacement of knee joint, both sides of knee	31	30	$6627.00	$1696.87
20610 Aspiration and/or injection of fluid from large joint	17	16	$286.00	$71.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	155	143	$177.00	$43.30
73562 X-ray of knee, 3 views	150	113	$159.00	$39.21
99213 Established patient office or other outpatient visit, typically 15 minutes	148	130	$321.00	$78.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$478.00	$116.92
72170 X-ray of pelvis, 1-2 views	120	108	$142.00	$34.50
27447 Replacement of knee joint, both sides of knee	59	57	$6602.00	$1745.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$470.00	$116.33
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6605.00	$1631.81
73560 X-ray of knee, 1-2 views	15	14	$139.00	$34.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	182	147	$153.00	$37.54
73564 X-ray of knee, 4 or more views	177	170	$169.00	$41.40
99213 Established patient office or other outpatient visit, typically 15 minutes	163	149	$315.99	$77.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$477.00	$117.83
27447 Replacement of knee joint, both sides of knee	110	107	$6563.00	$1703.09
72170 X-ray of pelvis, 1-2 views	92	85	$137.00	$33.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$464.25	$112.73
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$6571.00	$1624.44
73560 X-ray of knee, 1-2 views	13	11	$134.00	$30.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	184	181	$169.00	$41.15
99213 Established patient office or other outpatient visit, typically 15 minutes	155	143	$315.99	$76.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$478.94	$117.48
27447 Replacement of knee joint, both sides of knee	101	97	$6557.00	$1626.41
72170 X-ray of pelvis, 1-2 views	89	86	$137.00	$32.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	60	$463.02	$111.69
73562 X-ray of knee, 3 views	48	44	$153.00	$37.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$722.00	$173.55
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$6562.00	$1614.63
73560 X-ray of knee, 1-2 views	15	14	$132.00	$32.56
73501 X-ray of hip with pelvis, 1 view	14	14	$128.00	$31.45

Medical Specialties & State Licenses

CMS Verified: 2022-01-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME39682

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Orthopedics, Llc

8940 N Kendall Dr, Miami, FL 331762150

Phone: 7865968020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Ricky Lo , PA-C

Physician Assistant - Surgical

NPI 1003865544

Physician Assistant (Certified)

Dr. Alexander Van Der Ven , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1053522144

Doctor of Medicine (M.D.)

Lexis Benbow , PA-C

Physician Assistant

NPI 1053844217

Physician Assistant (Certified)

Khalid Hamdan , PA-C

Physician Assistant

NPI 1104705375

Physician Assistant (Certified)

Dr. Giovanni Paraliticci , MD

Orthopaedic Surgery

NPI 1497062582

Doctor of Medicine (M.D.)

Dr. Juan Suarez , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1548291412

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 03, 2020

Registered at 8940 N KENDALL DR STE 601E, MIAMI, FL 331762150 (Tel: 7865968020)

📍

Updated Business Mailing Address June 03, 2020

Registered at PO BOX 100905, ATLANTA, GA 303840905 (Tel: 7865968020)

✅

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2011

Registered at 8950 N KENDALL DR, SUITE 507W, MIAMI, FL 331762144 (Tel: 3052759556)

📍

Updated Business Mailing Address October 24, 2011

Registered at 8950 N KENDALL DR, SUITE 507W, MIAMI, FL 331762144 (Tel: 3052759556)

👤

Provider Name / Credentials Updated October 24, 2011

Recorded as FRANCISCO BORJA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Orthopaedic Surgery (License #ME39682 in FL)

🟢

Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255320693

Entity Type:

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

Enumeration Date: October 18, 2005

Last Update: January 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100905

Atlanta, GA 303840905

Phone: 7865968020

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.