Horton, Theresa

Horton, Theresa was paid $21K by Medicaid between Jan 2018 and Feb 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoHORTON, THERESA
OWASSO, OK 74055

33aNPI1255538815assigned 06/28/2007

33bProvider typePediatrics Physician

28Total paid$21K

24GClaims337

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Pediatrics Physician providers in Oklahoma

Rank by total paid#73 of 94

Median peer was paid$204K

This provider vs. median0.1×

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	337	$21K

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	45%	111	105	$10K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	16%	39	39	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	34	33	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	43	43	$3K
90472	Immunization administration, each additional vaccine (list separately)	7.6%	47	47	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.7%	46	46	$780.16
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	17	17	$462.74

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.