Horras, Roy

Horras, Roy was paid $117K by Medicaid between Jan 2018 and Feb 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoHORRAS, ROY
LIBERTYVILLE, IL 60048

33aNPI1255356663assigned 07/13/2006

33bProvider typeEmergency Medicine Physician

28Total paid$117K

24GClaims2,056

24DCodes billed2

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,138 of 1,980

Median peer was paid$150K

This provider vs. median0.8×

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	402	$19K
2019	567	$31K
2020	445	$26K
2021	577	$38K
2022	65	$4K

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	55%	1,309	1,174	$65K
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	45%	747	681	$52K

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.