Physician
New Horizon Primary Care, LLC
New Horizon Primary Care, LLC was paid $407K by Medicaid between Jan 2018 and Aug 2023, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoNEW HORIZON PRIMARY CARE, LLC
MACON, GA 31204
MACON, GA 31204
33aNPI1770794851assigned 05/24/2007
33bProvider typeInternal Medicine Physician
28Total paid$407K
24GClaims58,690
24DCodes billed68
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Internal Medicine Physician providers in Georgia
Rank by total paid#15 of 124
Median peer was paid$11K
This provider vs. median37×
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 | 6,837 | $66K | |
| 2019 | 11,976 | $74K | |
| 2020 | 10,102 | $54K | |
| 2021 | 10,896 | $93K | |
| 2022 | 14,721 | $97K | |
| 2023 | 4,158 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 5,019 | 4,204 | $219K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,454 | 3,673 | $143K |
| 93000 | 3.0% | 1,192 | 987 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.0% | 1,672 | 1,475 | $8K |
| 99490 | Ccm add 20min | 1.8% | 1,522 | 1,480 | $7K |
| 82947 | 1.5% | 3,128 | 2,616 | $6K | |
| 81003 | 1.0% | 3,060 | 2,633 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 47 | 40 | $4K |
| 77080 | <1% | 94 | 78 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | 12 | $221.35 |
| 99497 | <1% | 1,099 | 912 | $210.00 | |
| 81025 | <1% | 17 | 13 | $119.60 |
56 more codes
| 90686 | <1% | 17 | $57.84 | |
| 90688 | <1% | 15 | $57.44 | |
| 3078F | <1% | 676 | $50.49 | |
| 3075F | <1% | 289 | $50.37 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 562 | $33.00 |
| 3074F | <1% | 742 | $25.74 | |
| 3014F | <1% | 132 | $15.00 | |
| 4010F | <1% | 512 | $15.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,063 | $3.39 |
| 3008F | <1% | 3,902 | $2.19 | |
| 3079F | <1% | 901 | $0.86 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,704 | $0.73 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,431 | $0.71 |
| 3077F | <1% | 723 | $0.47 | |
| 3080F | <1% | 356 | $0.44 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 1,117 | $0.39 |
| 3048F | <1% | 212 | $0.35 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 892 | $0.33 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 1,013 | $0.28 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,870 | $0.20 |
| 1036F | <1% | 2,018 | $0.17 | |
| 1126F | <1% | 854 | $0.16 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 428 | $0.14 |
| 3050F | <1% | 44 | $0.09 | |
| 4145F | <1% | 475 | $0.09 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | <1% | 104 | $0.06 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 248 | $0.05 |
| 1160F | <1% | 3,444 | $0.03 | |
| 1159F | <1% | 3,706 | $0.03 | |
| 2022F | <1% | 63 | $0.03 | |
| 4013F | <1% | 86 | $0.02 | |
| 3044F | <1% | 115 | $0.02 | |
| 3049F | <1% | 38 | $0.02 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | <1% | 99 | $0.01 |
| 4086F | <1% | 893 | $0.01 | |
| 3017F | <1% | 971 | $0.01 | |
| 1034F | <1% | 57 | $0.01 | |
| 3072F | <1% | 16 | $0.01 | |
| 4008F | <1% | 35 | $0.01 | |
| 1033F | 0% | 62 | $0.00 | |
| 1158F | 0% | 64 | $0.00 | |
| 4274F | 0% | 18 | $0.00 | |
| 3725F | 0% | 110 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 28 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 25 | $0.00 |
| 4025F | 0% | 13 | $0.00 | |
| 99499 | 0% | 24 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 552 | $0.00 |
| 1170F | 0% | 96 | $0.00 | |
| 1101F | 0% | 868 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 384 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 108 | $0.00 |
| 1125F | 0% | 118 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 4037F | 0% | 35 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 33 | $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 officialALLOTEY, PETER (PRESIDENT)