Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Philip F Horne DPM PC

Philip F Horne DPM PC was paid $19K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 11721, — 73% of everything it billed.

33Billing provider infoPHILIP F HORNE DPM PC
CARBONDALE, PA 18407
33aNPI1568673580assigned 05/24/2007
33bProvider typePodiatrist
28Total paid$19K
24GClaims2,068
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Podiatrist providers in Pennsylvania

Rank by total paid#62 of 262
Median peer was paid$3K
This provider vs. median6.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2018719$1K
2019142$525.33
202035$260.00
2021386$5K
2022393$6K
2023267$4K
2024incomplete126$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11721 73% 1,393 1,382 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 249 229 $3K
97597 13% 111 79 $2K
1036F 0% 90 80 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 86 83 $0.00
G8482 Influenza immunization administered or previously received 0% 59 57 $0.00
1100F 0% 80 78 $0.00

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 officialHORNE, PHILIP (PRESIDENT)