Clinic
Horizon Pediatrics INC
Horizon Pediatrics INC was paid $377K by Medicaid between Jan 2020 and Oct 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoHORIZON PEDIATRICS INC
SILVER SPRING, MD 20904
SILVER SPRING, MD 20904
33aNPI1689193252assigned 09/15/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$377K
24GClaims7,297
24DCodes billed23
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#44 of 112
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2020 | 918 | $820.83 | |
| 2021 | 128 | $0.00 | |
| 2022 | 1,037 | $52K | |
| 2023 | 3,027 | $171K | |
| 2024incomplete | 2,187 | $153K |
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 | 52% | 2,941 | 2,318 | $195K |
| 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 | 17% | 688 | 553 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 518 | 439 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 370 | 332 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 306 | 242 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 137 | 131 | $11K |
| 90658 | 1.1% | 407 | 383 | $4K | |
| 99174 | <1% | 489 | 426 | $2K | |
| 90677 | <1% | 60 | 55 | $2K | |
| 99173 | <1% | 697 | 606 | $1K | |
| 90670 | <1% | 87 | 71 | $1K | |
| 96127 | <1% | 222 | 201 | $904.32 |
11 more codes
| 90656 | <1% | 33 | $698.40 | |
| 90633 | <1% | 47 | $651.84 | |
| 90697 | <1% | 32 | $530.76 | |
| 90680 | <1% | 27 | $488.88 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $469.58 |
| 90698 | <1% | 46 | $325.92 | |
| 90651 | <1% | 13 | $302.64 | |
| 90710 | <1% | 22 | $232.80 | |
| 90688 | <1% | 24 | $23.28 | |
| 90685 | 0% | 31 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 27 | $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 officialSMITH, NICOLE (OWNER/ PEDIATRICIAN)
| Provider | Location | Paid |
|---|---|---|
| E & H Holdings, LLC | Moses Lake, WA | $2.55M |
| City of League City | League City, TX | $159K |
| Crossroads Senior Care at Home, INC. | Russellville, AR | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.