Physician
Horizon Pediatrics INC.
Horizon Pediatrics INC. was paid $147K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 19% of everything it billed.
33Billing provider infoHORIZON PEDIATRICS INC.
NEW BEDFORD, MA 02740
NEW BEDFORD, MA 02740
33aNPI1700930807assigned 01/23/2007
33bProvider typePediatric Cardiology Physician
28Total paid$147K
24GClaims17,327
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in Massachusetts
Rank by total paid#1 of 34
Median peer was paid$5K
This provider vs. median29×
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 | 505 | $20K | |
| 2019 | 41 | $2K | |
| 2020 | 61 | $1K | |
| 2021 | 205 | $1K | |
| 2022 | 203 | $2K | |
| 2023 | 6,844 | $45K | |
| 2024incomplete | 9,468 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 19% | 196 | 193 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,830 | 2,596 | $25K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 13% | 2,342 | 2,334 | $19K |
| 99188 | 11% | 597 | 595 | $16K | |
| 96127 | 9.3% | 1,334 | 1,330 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.8% | 1,109 | 1,016 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 613 | 562 | $9K |
| 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 | 4.4% | 401 | 381 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 3,019 | 1,461 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.3% | 111 | 111 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 605 | 603 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 514 | 510 | $2K |
24 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 629 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 466 | $2K |
| 85018 | 1.1% | 761 | $2K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 16 | $470.88 |
| 90461 | <1% | 17 | $195.00 | |
| 83655 | <1% | 13 | $138.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 157 | $134.90 |
| 81002 | <1% | 13 | $36.84 | |
| 90473 | <1% | 22 | $20.45 | |
| 90677 | 0% | 253 | $0.00 | |
| 90651 | 0% | 106 | $0.00 | |
| 90620 | 0% | 28 | $0.00 | |
| 90697 | 0% | 158 | $0.00 | |
| 90680 | 0% | 148 | $0.00 | |
| 90656 | 0% | 129 | $0.00 | |
| 90686 | 0% | 133 | $0.00 | |
| 90660 | 0% | 18 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90672 | 0% | 23 | $0.00 | |
| 90633 | 0% | 85 | $0.00 | |
| 99072 | 0% | 364 | $0.00 | |
| 90734 | 0% | 76 | $0.00 | |
| 90661 | 0% | 16 | $0.00 | |
| 90700 | 0% | 12 | $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 officialGRODEN, BRIAN (OWNER)