Horinek, Anthony

Horinek, Anthony was paid $128K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoHORINEK, ANTHONY
PEORIA, IL 61603

33aNPI1609907195assigned 03/08/2007

33bProvider typeNephrology Physician

28Total paid$128K

24GClaims4,528

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#89 of 327

Median peer was paid$68K

This provider vs. median1.9×

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	548	$10K
2019	765	$11K
2020	857	$22K
2021	724	$27K
2022	564	$21K
2023	528	$17K
2024incomplete	542	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	42%	1,811	721	$54K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	29%	1,466	645	$38K
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	15%	586	558	$19K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	5.4%	101	89	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.2%	392	376	$7K
90935	Hemodialysis procedure with single evaluation by a physician	2.8%	159	109	$4K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	13	13	$42.95

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.