Physician
Horizons Family Practice PA
Horizons Family Practice PA was paid $363K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoHORIZONS FAMILY PRACTICE PA
WILMINGTON, DE 19808
WILMINGTON, DE 19808
33aNPI1184795734assigned 11/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$363K
24GClaims18,947
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#27 of 97
Median peer was paid$101K
This provider vs. median3.6×
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 | 2,975 | $14K | |
| 2019 | 1,940 | $27K | |
| 2020 | 1,744 | $105K | |
| 2021 | 2,894 | $81K | |
| 2022 | 5,004 | $75K | |
| 2023 | 3,871 | $48K | |
| 2024incomplete | 519 | $13K |
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 | 82% | 6,986 | 5,583 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,628 | 1,317 | $50K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 431 | 328 | $11K |
| 99490 | Ccm add 20min | <1% | 171 | 125 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | 28 | $732.82 |
| 92552 | <1% | 161 | 139 | $469.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | 37 | $254.65 |
| 0011A | <1% | 62 | 52 | $215.52 | |
| 90688 | <1% | 24 | 18 | $184.13 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | 24 | $90.12 |
| 81007 | <1% | 69 | 58 | $39.02 | |
| 90658 | <1% | 96 | 18 | $12.38 |
23 more codes
| 81002 | <1% | 275 | $10.23 | |
| 3008F | 0% | 1,432 | $0.00 | |
| 1126F | 0% | 409 | $0.00 | |
| 1036F | 0% | 2,042 | $0.00 | |
| 3074F | 0% | 827 | $0.00 | |
| 3079F | 0% | 520 | $0.00 | |
| 1125F | 0% | 328 | $0.00 | |
| 96150 | 0% | 17 | $0.00 | |
| 3080F | 0% | 39 | $0.00 | |
| 3075F | 0% | 231 | $0.00 | |
| 0012A | 0% | 22 | $0.00 | |
| 1034F | 0% | 23 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| 99000 | 0% | 17 | $0.00 | |
| 91301 | 0% | 16 | $0.00 | |
| 3078F | 0% | 650 | $0.00 | |
| 1160F | 0% | 1,861 | $0.00 | |
| 3077F | 0% | 167 | $0.00 | |
| 99072 | 0% | 120 | $0.00 | |
| 4004F | 0% | 54 | $0.00 | |
| 3288F | 0% | 17 | $0.00 | |
| 3725F | 0% | 31 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 17 | $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 officialNAVARRO, JULIO (OWNER)