Physician
Jonathan M Horbal DO PLC
Jonathan M Horbal DO PLC was paid $860K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 46% of everything it billed.
33Billing provider infoJONATHAN M HORBAL DO PLC
MIDLAND, MI 48640
MIDLAND, MI 48640
33aNPI1063827152assigned 06/26/2014
33bProvider typeAllergy & Immunology Physician
28Total paid$860K
24GClaims9,987
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Michigan
Rank by total paid#9 of 32
Median peer was paid$204K
This provider vs. median4.2×
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 | 982 | $47K | |
| 2019 | 863 | $55K | |
| 2020 | 1,321 | $94K | |
| 2021 | 1,703 | $155K | |
| 2022 | 1,987 | $194K | |
| 2023 | 1,614 | $160K | |
| 2024incomplete | 1,517 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 46% | 2,249 | 2,229 | $398K |
| 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 | 24% | 2,049 | 2,046 | $210K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,094 | 3,995 | $206K |
| 95024 | 4.2% | 583 | 582 | $36K | |
| 95115 | <1% | 802 | 549 | $4K | |
| 94726 | <1% | 99 | 99 | $3K | |
| 94060 | <1% | 99 | 99 | $2K | |
| 94664 | <1% | 12 | 12 | $141.47 |
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 officialHORBAL, JONATHAN (SOLE MEMBER)