Physician
Gene Hori, M.D. Incorporated
Gene Hori, M.D. Incorporated was paid $114K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 76775, — 59% of everything it billed.
33Billing provider infoGENE HORI, M.D. INCORPORATED
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1225208077assigned 03/07/2008
33bProvider typeUrology Physician
28Total paid$114K
24GClaims3,346
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Urology Physician providers in California
Rank by total paid#49 of 171
Median peer was paid$20K
This provider vs. median5.6×
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 | 554 | $25K | |
| 2019 | 415 | $13K | |
| 2020 | 899 | $34K | |
| 2021 | 705 | $24K | |
| 2022 | 476 | $14K | |
| 2023 | 276 | $4K | |
| 2024incomplete | 21 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76775 | 59% | 924 | 817 | $67K | |
| 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 | 38% | 721 | 654 | $43K |
| 81003 | 2.4% | 1,535 | 1,390 | $3K | |
| 51798 | <1% | 87 | 80 | $503.15 | |
| 1036F | 0% | 21 | 19 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 58 | 54 | $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 officialHORI, GENE (CEO)