Supplier
Health Horizons INC
Health Horizons INC was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 24% of everything it billed.
33Billing provider infoHEALTH HORIZONS INC
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1033191325assigned 11/14/2005
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$1.70M
24GClaims57,418
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in North Carolina
Rank by total paid#16 of 44
Median peer was paid$917K
This provider vs. median1.9×
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.
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 | 9,978 | $234K | |
| 2019 | 8,330 | $242K | |
| 2020 | 7,178 | $206K | |
| 2021 | 7,993 | $246K | |
| 2022 | 7,281 | $216K | |
| 2023 | 9,096 | $273K | |
| 2024incomplete | 7,562 | $284K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 24% | 8,654 | 6,256 | $414K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 11% | 3,183 | 2,144 | $195K |
| E0601 | Continuous positive airway pressure (cpap) device | 10% | 5,194 | 3,853 | $176K |
| E0570 | Nebulizer, with compressor | 9.3% | 5,364 | 4,269 | $159K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 7.3% | 1,779 | 1,134 | $124K |
| A4554 | Disposable underpads, all sizes | 7.1% | 4,253 | 2,813 | $121K |
| A7030 | Full face mask used with positive airway pressure device, each | 6.3% | 1,547 | 1,195 | $107K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.3% | 4,990 | 3,826 | $56K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 3.0% | 779 | 647 | $51K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.5% | 5,402 | 3,839 | $42K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.1% | 1,397 | 933 | $36K |
| A7035 | Headgear used with positive airway pressure device | 1.8% | 2,297 | 1,766 | $31K |
22 more codes
| A4927 | Gloves, non-sterile, per 100 | 1.5% | 2,145 | $26K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.5% | 1,329 | $26K |
| A7037 | Tubing used with positive airway pressure device | 1.5% | 1,157 | $25K |
| T2025 | Waiver services not otherwise specified | 1.0% | 519 | $18K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 633 | $16K |
| K0001 | Standard wheelchair | <1% | 1,357 | $15K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 318 | $14K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 592 | $12K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 156 | $9K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 406 | $8K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 2,566 | $5K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 113 | $4K |
| E1392 | Portable oxygen concentrator, rental | <1% | 302 | $4K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 605 | $3K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 72 | $2K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 14 | $833.59 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 76 | $356.06 |
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | <1% | 36 | $278.14 |
| K0003 | Lightweight wheelchair | <1% | 20 | $220.91 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 49 | $121.52 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 65 | $91.62 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 49 | $85.81 |
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 officialJOHNSON, C (VP FINANCE)