Horizon Healthcare, INC

Horizon Healthcare, INC was paid $10.23M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 45% of everything it billed.

33Billing provider infoHORIZON HEALTHCARE, INC
MILWAUKEE, WI 53207

33aNPI1225052830assigned 07/27/2006

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$10.23M

24GClaims351,047

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin

Rank by total paid#4 of 108

Median peer was paid$332K

This provider vs. median31×

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	16,774	$548K
2019	21,702	$627K
2020	52,649	$1.29M
2021	72,527	$2.03M
2022	73,941	$2.16M
2023	68,993	$2.02M
2024incomplete	44,461	$1.56M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	45%	99,806	71,192	$4.61M
Q3014	Telehealth originating site facility fee	16%	110,515	85,406	$1.68M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	63,699	51,063	$1.63M
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	13%	33,967	25,259	$1.35M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.3%	4,306	3,394	$234K
99205	Prolong outpt/office vis	2.3%	2,805	2,329	$233K
81025		2.0%	30,302	25,369	$202K
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	1.0%	1,495	1,257	$104K
90792	Psychiatric diagnostic evaluation with medical services	<1%	723	536	$54K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	943	582	$50K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	657	550	$44K
H0022	Alcohol and/or drug intervention service (planned facilitation)	<1%	1,375	852	$24K

5 more codes

H0049	Alcohol and/or drug screening	<1%	316	$3K
99203	Doctor's office visit, new patient (routine)	<1%	61	$3K
96103		<1%	28	$984.80
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	35	$559.56
99000		<1%	14	$54.88

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 officialZILLMER, REBBECCA (MANAGER)

Same official

Other billing entities under ZILLMER, REBBECCA

Full network →

Provider	Location	Paid
Horizon Healthcare, INC	Milwaukee, WI	$1.47M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.