Horizon Medical Group, P.C.
Horizon Medical Group, P.C. was paid $7.77M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoHORIZON MEDICAL GROUP, P.C.
GOSHEN, NY 10924
GOSHEN, NY 10924
33aNPI1063488179assigned 02/28/2006
33bProvider typeChiropractor
28Total paid$7.77M
24GClaims131,402
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Chiropractor providers in New York
Rank by total paid#1 of 38
Median peer was paid$17K
This provider vs. median453×
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 | 8,699 | $606K | |
| 2019 | 10,135 | $670K | |
| 2020 | 22,195 | $1.00M | |
| 2021 | 29,815 | $1.53M | |
| 2022 | 22,065 | $1.41M | |
| 2023 | 21,684 | $1.52M | |
| 2024incomplete | 16,809 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 30,531 | 28,567 | $3.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 35,828 | 33,455 | $2.70M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.0% | 2,932 | 2,864 | $230K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 1,285 | 1,284 | $210K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 1,590 | 1,588 | $173K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 1,188 | 1,187 | $136K |
| 76830 | Ultrasound, transvaginal | 1.7% | 1,483 | 1,465 | $132K |
| 92250 | 1.3% | 2,749 | 2,742 | $104K | |
| 00811 | 1.1% | 891 | 891 | $85K | |
| 17110 | <1% | 681 | 596 | $74K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 936 | 936 | $70K |
| A4550 | Surgical trays | <1% | 212 | 204 | $64K |
51 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 529 | $60K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 168 | $49K |
| 88342 | <1% | 1,113 | $39K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,018 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 320 | $36K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 417 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 605 | $33K |
| 99454 | <1% | 916 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 584 | $24K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 73 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,472 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 153 | $21K |
| 90682 | <1% | 322 | $19K | |
| 99457 | <1% | 2,224 | $19K | |
| 11102 | <1% | 132 | $12K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 29 | $11K |
| 00731 | <1% | 117 | $11K | |
| 92083 | <1% | 90 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 224 | $5K |
| 99406 | <1% | 360 | $5K | |
| 90688 | <1% | 223 | $4K | |
| 93000 | <1% | 228 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | $3K |
| 11100 | <1% | 27 | $3K | |
| 92133 | <1% | 76 | $2K | |
| 90686 | <1% | 103 | $2K | |
| 92134 | <1% | 49 | $2K | |
| 99385 | <1% | 13 | $2K | |
| 81002 | <1% | 891 | $2K | |
| 92020 | <1% | 60 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 87 | $1K |
| 90673 | <1% | 13 | $952.65 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $798.91 |
| 99453 | <1% | 113 | $738.26 | |
| 80053 | Comprehensive metabolic panel | <1% | 66 | $622.49 |
| 90658 | <1% | 15 | $296.40 | |
| 99173 | <1% | 79 | $289.16 | |
| 80061 | Lipid panel | <1% | 46 | $285.71 |
| 94010 | <1% | 12 | $243.96 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 29 | $234.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 67 | $219.55 |
| 92015 | Determination of refractive state | <1% | 12 | $197.60 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 46 | $165.60 |
| 81025 | <1% | 56 | $127.73 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 55 | $89.29 |
| 3078F | 0% | 5,143 | $0.00 | |
| 3077F | 0% | 41 | $0.00 | |
| 3075F | 0% | 8,711 | $0.00 | |
| 3074F | 0% | 8,743 | $0.00 | |
| 3079F | 0% | 1,017 | $0.00 | |
| 3080F | 0% | 38 | $0.00 |
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 officialDWYER, ALICE (CREDENTIALING COORDINATOR)