Medicare Enrolled

Dr. Hossein Borghaei, M.D.

Optician · Philadelphia, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
333 COTTMAN AVE, Philadelphia, PA 19111
2157286900
In practice since 2006 (20 years)
NPI: 1699741546 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Borghaei from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Borghaei? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Borghaei

Dr. Hossein Borghaei is an optician specialist in Philadelphia, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Borghaei performed 321 Medicare services across 153 unique beneficiaries.

Between the years covered by Open Payments, Dr. Borghaei received a total of $580,882 from 38 pharmaceutical and/or device companies across 412 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Borghaei is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 321 Medicare services $580,882 industry payments

Medicare Practice Summary

Medicare Utilization ↗
321
Medicare services
Bottom 39% in PA for optician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
153
Unique beneficiaries
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~16 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 223 $77 $200
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
 61 $118 $260
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 20 $51 $130
New patient office visit, complex (60-74 min) 17 $151 $445
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$580,882
Total received (2018-2024)
Avg $82,983/year across 7 years
Top 1% in PA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
412
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$399,638 (68.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$120,888 (20.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$60,356 (10.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$89,262
2023
$74,686
2022
$52,774
2021
$66,687
2020
$72,360
2019
$189,740
2018
$35,372

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
JAZZ PHARMACEUTICALS INC.
$20,798
AstraZeneca Pharmaceuticals LP
$12,086
Merck Sharp & Dohme LLC
$8,260
Janssen Scientific Affairs, LLC
$7,138
TAIHO ONCOLOGY, INC.
$5,344
Gilead Sciences, Inc.
$4,804
Novocure Inc.
$4,795
Regeneron Pharmaceuticals, Inc.
$4,738
Daiichi Sankyo Inc.
$4,034
Genentech USA, Inc.
$3,981
Novartis Pharmaceuticals Corporation
$3,247
ABBVIE INC.
$2,812
AstraZeneca UK Limited
$2,800
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,220
PFIZER INC.
$1,500
Regeneron Healthcare Solutions, Inc.
$260
Janssen Biotech, Inc.
$234
E.R. Squibb & Sons, L.L.C.
$94
ARRAY BIOPHARMA INC
$53
F. Hoffmann-La Roche AG
$50
Amgen Inc.
$16
Top 3 companies account for 46.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$93,228
Lilly USA, LLC
$87,396
Amgen Inc.
$37,603
Regeneron Pharmaceuticals, Inc.
$32,562
EMD Serono, Inc.
$28,737
Merck Sharp & Dohme Corporation
$28,271
Genentech USA, Inc.
$25,584
AstraZeneca UK Limited
$25,371
JAZZ PHARMACEUTICALS INC.
$24,797
Daiichi Sankyo Inc.
$22,030
E.R. Squibb & Sons, L.L.C.
$21,511
Janssen Scientific Affairs, LLC
$19,775
Merck Sharp & Dohme LLC
$14,745
Mirati Therapeutics, Inc.
$13,644
AstraZeneca AB
$12,446
GENZYME CORPORATION
$10,135
BeiGene USA, Inc.
$9,750
PFIZER INC.
$8,827
Novartis Pharmaceuticals Corporation
$7,311
Gilead Sciences, Inc.
$6,921
Novocure Inc.
$6,050
F. Hoffmann-La Roche AG
$5,623
Eisai Inc.
$5,385
Merck KGaA
$5,384
TAIHO ONCOLOGY, INC.
$5,344
AbbVie Inc.
$4,501
Puma Biotechnology, Inc.
$4,088
Regeneron Healthcare Solutions, Inc.
$3,862
ABBVIE INC.
$2,812
Takeda Pharmaceuticals U.S.A., Inc.
$2,711
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,220
Bayer Healthcare Pharmaceuticals Inc.
$1,400
ModernaTX, Inc.
$400
Janssen Biotech, Inc.
$234
Genmab U.S., Inc.
$75
Roche Products Limited
$70
ARRAY BIOPHARMA INC
$53
AbbVie, Inc.
$25
Top 3 companies account for 37.6% of all-time payments
Associated products mentioned in payments ›
Alecensa · Alunbrig · Avastin · Bavencio · Blincyto · ENHERTU · Enhertu · IMFINZI · IMJUDO · KEYTRUDA · KRAZATI · LENVIMA · LIBTAYO · LIBTAYO CEMIPLIMAB-RWLC INJECTION · LORBRENA · LUMAKRAS · Lenvima · MVASI · OPDIVO · Optune Lua (NovoTTF-200T) · RYBREVANT · SARCLISA · TABRECTA · TAGRISSO · TECENTRIQ · TEZSPIRE · Tecentriq · Trodelvy · VELCADE · Vitrakvi · ZEPZELCA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (69%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for optician in PA.

Looking for an optician specialist in Philadelphia?
Compare opticians in the Philadelphia area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
735
Per 100K population
46.4
County median income
$60,698
Nearest hospital
NAZARETH HOSPITAL
1.8 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Borghaei is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 1% of PA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Borghaei experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Borghaei performed 223 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Borghaei receive payments from pharmaceutical companies?
Yes. Dr. Borghaei received a total of $580,882 from 38 companies across 412 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Borghaei's costs compare to other opticians in Philadelphia?
Dr. Borghaei's average Medicare payment per service is $87. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Borghaei) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

Explore related providers

Same specialty & city
Opticians in Philadelphia
Browse opticians in Philadelphia ranked by procedure volume and transparency data.
Highest volume
Top Opticians in PA
Opticians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Opticians in PA
Which PA opticians receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
Lilly USA, LLC Payments to Doctors
See all physicians who received payments from Lilly USA, LLC.
By company
Amgen Inc. Payments to Doctors
See all physicians who received payments from Amgen Inc.
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →