HCN Ep Horizon City, LLC

HCN Ep Horizon City, LLC was paid $20.85M by Medicaid between Nov 2018 and Dec 2024, across 66 billing codes. Its largest line is 99283, emergency room visit (moderate) — 36% of everything it billed.

33Billing provider infoHCN EP HORIZON CITY, LLC
HORIZON CITY, TX 79928

33aNPI1003344334assigned 05/31/2017

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$20.85M

24GClaims244,821

24DCodes billed66

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Texas

Rank by total paid#23 of 320

Median peer was paid$205K

This provider vs. median102×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BUCK, JOHN controls 11+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,387	$130K
2019	14,025	$731K
2020	12,700	$782K
2021	60,263	$4.64M
2022	69,585	$5.93M
2023	45,342	$5.16M
2024incomplete	40,519	$3.47M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	36%	51,092	50,375	$7.42M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	18,300	17,956	$7.41M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	13%	6,871	6,651	$2.66M
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.4%	8,628	8,534	$1.13M
87428		2.2%	22,993	22,749	$458K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	14,839	14,154	$200K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	440	427	$170K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14,201	14,051	$125K
80053	Comprehensive metabolic panel	<1%	5,024	4,834	$118K
80051		<1%	5,441	5,203	$114K
71045	Radiologic examination, chest; single view	<1%	3,779	3,681	$106K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	2,283	2,133	$86K

54 more codes

96361	Intravenous infusion, hydration; each additional hour	<1%	1,457	$57K
70450	Computed tomography, head or brain; without contrast material	<1%	359	$56K
82565		<1%	5,451	$52K
81025		<1%	4,770	$46K
82550		<1%	5,539	$44K
82977		<1%	2,824	$39K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	4,224	$36K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	925	$36K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,983	$33K
84484		<1%	1,999	$33K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	131	$33K
96375	Therapeutic injection; each additional sequential IV push	<1%	3,015	$32K
82150		<1%	2,847	$29K
81003		<1%	12,048	$28K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,406	$27K
80305		<1%	530	$25K
84520		<1%	5,449	$24K
82247		<1%	2,704	$17K
84075		<1%	2,700	$15K
71046	Radiologic examination, chest; 2 views	<1%	371	$15K
82947		<1%	6,366	$15K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,478	$14K
84460		<1%	2,685	$14K
84450		<1%	2,687	$13K
82040		<1%	2,701	$13K
87400		<1%	2,975	$12K
84155		<1%	2,688	$10K
87086	Culture, bacterial; quantitative colony count, urine	<1%	732	$9K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	108	$9K
76801		<1%	73	$9K
83605		<1%	470	$8K
82805		<1%	109	$7K
87807		<1%	1,100	$7K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	106	$5K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	65	$5K
83880		<1%	180	$5K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	63	$4K
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	815	$3K
85379		<1%	229	$2K
87420		<1%	427	$2K
73630		<1%	31	$2K
93976		<1%	16	$1K
85610		<1%	171	$1K
74018		<1%	161	$870.33
73130		<1%	26	$739.99
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	586	$736.28
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	12	$623.82
84702		<1%	52	$614.74
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$258.05
90715		<1%	13	$158.95
83690		<1%	15	$147.58
87040		<1%	14	$110.09
86900		<1%	15	$48.48
86901		<1%	15	$40.26

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBUCK, JOHN (SECRETARY)

Same official

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