Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HORIZON MENTAL HEALTH MANAGEMENT LLC

NPI: 1255380176 · LEWISVILLE, TX 75057 · Psychiatry Physician · NPI assigned 05/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FILTON, STEVE controls 20+ related entities in our dataset. Read more

$469K
Total Medicaid Paid
14,102
Total Claims
9,175
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialFILTON, STEVE (SVP/CFO)
NPI Enumeration Date05/08/2006

Related Entities

Other providers sharing the same authorized official: FILTON, STEVE

ProviderCityStateTotal Paid
DISTRICT HOSPITAL PARTNERS L P WASHINGTON DC $136.25M
MCALLEN HOSPITALS L P EDINBURG TX $124.61M
LANCASTER HOSPITAL CORPORATION PALMDALE CA $108.63M
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC MURRIETA CA $61.95M
DOCTORS HOSPITAL OF LAREDO LAREDO TX $52.31M
VALLEY HOSPITAL MEDICAL CENTER LAS VEGAS NV $47.03M
NORTHWEST TEXAS HEALTHCARE SYSTEM INC AMARILLO TX $44.81M
UHS OF BOWLING GREEN LLC BOWLING GREEN KY $41.21M
UHS-CORONA INC CORONA CA $35.18M
SPRING VALLEY MEDICAL CENTER LAS VEGAS NV $33.58M
AIKEN REGIONAL MEDICAL CENTERS LLC AIKEN SC $31.51M
SUMMERLIN HOSPITAL MEDICAL CENTER L L C LAS VEGAS NV $30.26M
MANATEE MEMORIAL HOSPITAL L P BRADENTON FL $22.33M
DESERT SPRINGS HOSPITAL LAS VEGAS NV $22.29M
FORT DUNCAN MEDICAL CENTER LP EAGLE PASS TX $15.80M
PSI PRIDE INSTITUTE INC EDEN PRAIRIE MN $15.57M
UHS OF FULLER INC S ATTLEBORO MA $13.47M
UHS OF TEXOMA, INC DENISON TX $12.51M
ARBOUR INC BOSTON MA $12.36M
WELLINGTON REGIONAL MEDICAL CENTER LLC WELLINGTON FL $10.75M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,391 $95K
2019 2,780 $83K
2020 2,454 $75K
2021 2,067 $85K
2022 1,578 $72K
2023 1,413 $46K
2024 419 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 7,326 3,668 $145K
99221 2,102 1,913 $109K
90792 Psychiatric diagnostic evaluation with medical services 1,571 1,394 $80K
90791 Psychiatric diagnostic evaluation 796 735 $73K
99232 Subsequent hospital care, per day, moderate complexity 1,273 599 $34K
99238 Hospital discharge day management, 30 minutes or less 452 428 $14K
99239 Hospital discharge day management, more than 30 minutes 188 177 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 141 77 $4K
99233 Prolong inpt eval add15 m 107 73 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 46 20 $575.30
99308 Subsequent nursing facility care, per day, straightforward 100 91 $211.99