Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Horne, Howard

Horne, Howard was paid $11K by Medicaid between Nov 2021 and Sep 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoHORNE, HOWARD
BETHLEHEM, PA 18018
33aNPI1356395883assigned 05/20/2006
28Total paid$11K
24GClaims346
24DCodes billed4
24AFirst – last monthNov 2021 – Sep 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#278 of 511
Median peer was paid$14K
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202135$1K
2022311$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88% 293 254 $10K
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 8.3% 16 14 $897.90
59025 Fetal non-stress test 3.2% 25 14 $351.50
81025 <1% 12 12 $52.80

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.