Physician
Horizon Surgical Group, PA
Horizon Surgical Group, PA was paid $314K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHORIZON SURGICAL GROUP, PA
GERMANTOWN, MD 20876
GERMANTOWN, MD 20876
33aNPI1366449365assigned 07/05/2005
33bProvider typeVascular Surgery Physician
28Total paid$314K
24GClaims15,529
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Vascular Surgery Physician providers in Maryland
Rank by total paid#4 of 14
Median peer was paid$18K
This provider vs. median18×
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 | 2,009 | $145K | |
| 2019 | 2,426 | $61K | |
| 2020 | 2,196 | $-40050.02 | |
| 2021 | 2,211 | $-28553.57 | |
| 2022 | 3,039 | $55K | |
| 2023 | 2,591 | $82K | |
| 2024incomplete | 1,057 | $39K |
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 | 37% | 4,972 | 4,467 | $117K |
| 93990 | 13% | 1,472 | 1,182 | $41K | |
| 93926 | 9.7% | 1,026 | 882 | $30K | |
| 99152 | 8.3% | 1,263 | 1,052 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 420 | 412 | $26K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 7.2% | 1,279 | 1,092 | $22K |
| 93971 | 7.1% | 806 | 722 | $22K | |
| 76937 | 4.9% | 567 | 459 | $15K | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 4.2% | 708 | 602 | $13K |
| 93925 | 3.5% | 115 | 107 | $11K | |
| 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 | 3.2% | 618 | 566 | $10K |
| 93970 | 2.4% | 49 | 44 | $8K |
12 more codes
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 2.3% | 751 | $7K |
| 93880 | 1.3% | 68 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 135 | $4K |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 1.1% | 415 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 123 | $1K |
| 36140 | <1% | 17 | $400.71 | |
| 93978 | <1% | 12 | $380.73 | |
| 75710 | 0% | 44 | $0.00 | |
| 36200 | 0% | 14 | $0.00 | |
| 75625 | 0% | 14 | $0.00 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 74 | $0.00 |
| 99153 | Mod sedat endo service >5yrs | 0% | 567 | $-48467.35 |
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.
From NPPES
Who's on the registration
Authorized officialFOX, ROBERT (PARTNER/AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Recovery Syndicate LLC | Chandler, AZ | $3.81M |
| Riverside Ambulance INC | Marked Tree, AR | $2.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.