Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Horizons Medical Care, P.C.

Horizons Medical Care, P.C. was paid $252K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoHORIZONS MEDICAL CARE, P.C.
MADISON, AL 35758
33aNPI1154385144assigned 04/14/2006
28Total paid$252K
24GClaims18,083
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Alabama

Rank by total paid#52 of 105
Median peer was paid$247K
This provider vs. median1.0×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018453$0.00
2019284$0.00
20201,821$21K
20212,708$13K
20223,973$60K
20234,548$82K
2024incomplete4,296$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 7,913 5,462 $202K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11% 1,020 744 $27K
80305 7.0% 4,281 2,755 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 87 66 $3K
80053 Comprehensive metabolic panel <1% 261 190 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 27 16 $697.76
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 56 39 $240.00
81002 <1% 40 37 $36.00
3075F 0% 131 102 $0.00
3074F 0% 997 726 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 698 432 $0.00
96127 0% 185 143 $0.00
8 more codes
3079F 0% 534 $0.00
3080F 0% 40 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 636 $0.00
3078F 0% 707 $0.00
3077F 0% 34 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 275 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 44 $0.00
G8482 Influenza immunization administered or previously received 0% 117 $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 officialMILLWARD, BARBARA (ASST OFFICE MANAGER)