Horne, Kathleen

Horne, Kathleen was paid $32K by Medicaid between Oct 2020 and Dec 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoHORNE, KATHLEEN
SUNBURY, PA 17801

33aNPI1295774024assigned 06/06/2006

33bProvider typeFamily Medicine Physician

28Total paid$32K

24GClaims951

24DCodes billed8

24AFirst – last monthOct 2020 – Dec 2021

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,139 of 2,756

Median peer was paid$19K

This provider vs. median1.7×

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
2020	126	$4K
2021	825	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69%	590	552	$22K
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	19%	115	115	$6K
80061	Lipid panel	3.9%	84	83	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	30	28	$839.59
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.0%	15	15	$642.96
80053	Comprehensive metabolic panel	2.0%	53	53	$636.47
G0008	Administration of influenza virus vaccine	1.6%	51	46	$516.90
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	13	12	$73.36

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.