Physician
Horizon Clinicians PLLC
Horizon Clinicians PLLC was paid $110K by Medicaid between Jul 2019 and Jul 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoHORIZON CLINICIANS PLLC
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
33aNPI1063978427assigned 02/11/2019
33bProvider typeFamily Medicine Physician
28Total paid$110K
24GClaims11,778
24DCodes billed15
24AFirst – last monthJul 2019 – Jul 2023
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#233 of 754
Median peer was paid$34K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 1,398 | $14K | |
| 2020 | 3,167 | $28K | |
| 2021 | 2,774 | $33K | |
| 2022 | 2,028 | $25K | |
| 2023 | 2,411 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 2,348 | 1,859 | $61K |
| 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 | 40% | 1,214 | 931 | $44K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 159 | 106 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 104 | 80 | $1K |
| 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 | 1.2% | 14 | 12 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 256 | 222 | $187.62 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | 14 | $48.76 |
| 81002 | <1% | 30 | 24 | $16.53 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 27 | 16 | $14.35 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,331 | 2,481 | $0.00 |
| 1160F | 0% | 763 | 637 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,309 | 1,684 | $0.00 |
3 more codes
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 officialTHOMPSON, CAROLYN (OFFICE ADMINISTRATOR)