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

Horizon Surgical Specialists PA

Horizon Surgical Specialists PA was paid $331K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is 93925, — 39% of everything it billed.

33Billing provider infoHORIZON SURGICAL SPECIALISTS PA
LENOIR, NC 28645
33aNPI1225142011assigned 08/18/2006
33bProvider typeSurgery Physician
28Total paid$331K
24GClaims10,365
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Surgery Physician providers in North Carolina

Rank by total paid#6 of 108
Median peer was paid$6K
This provider vs. median53×

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$10K$15K2018201920202021202220232024
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
2018949$20K
20191,587$32K
20201,660$33K
20212,285$73K
20221,466$64K
20231,542$62K
2024incomplete876$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93925 39% 1,840 1,468 $130K
93970 19% 915 727 $63K
93922 12% 1,894 1,507 $39K
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 9.4% 945 721 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 1,471 1,187 $29K
99152 4.6% 1,504 753 $15K
93880 2.4% 143 123 $8K
75710 1.2% 86 39 $4K
93971 1.2% 77 52 $4K
99406 <1% 589 442 $3K
75625 <1% 51 24 $2K
76937 <1% 510 239 $1K
1 more codes
99153 Mod sedat endo service >5yrs <1% 340 $1K

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 officialPURCELL, PETER (MD OWNER)