Clinic
Horizon Healthcare, INC
Horizon Healthcare, INC was paid $1.47M by Medicaid between Jan 2018 and Jun 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHORIZON HEALTHCARE, INC
MILWAUKEE, WI 53210
MILWAUKEE, WI 53210
33aNPI1639193212assigned 07/27/2006
28Total paid$1.47M
24GClaims60,725
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin
Rank by total paid#24 of 108
Median peer was paid$332K
This provider vs. median4.4×
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 | 20,789 | $482K | |
| 2019 | 27,751 | $698K | |
| 2020 | 12,185 | $294K |
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% | 21,406 | 18,205 | $552K |
| Q3014 | Telehealth originating site facility fee | 35% | 31,755 | 26,253 | $511K |
| 99205 | Prolong outpt/office vis | 13% | 2,165 | 1,891 | $198K |
| 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 | 11% | 4,382 | 3,513 | $158K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.2% | 655 | 514 | $47K |
| 96103 | <1% | 109 | 107 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 37 | 24 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 30 | 29 | $994.03 |
| 81025 | <1% | 186 | 151 | $924.59 |
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 officialZILLMER, REBBECCA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Horizon Healthcare, INC | Milwaukee, WI | $10.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.