Clinic
Western Horizon Medical Group
Western Horizon Medical Group was paid $74K by Medicaid between Feb 2018 and Dec 2023, across 59 billing codes. Its largest line is 1126F, — 67% of everything it billed.
33Billing provider infoWESTERN HORIZON MEDICAL GROUP
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
33aNPI1801925367assigned 03/02/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$74K
24GClaims33,323
24DCodes billed59
24AFirst – last monthFeb 2018 – Dec 2023
Compared with peers
Next to other Health Service Clinic/Center providers in California
Rank by total paid#46 of 87
Median peer was paid$88K
This provider vs. median0.8×
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 | 2,377 | $8K | |
| 2019 | 7,066 | $720.68 | |
| 2020 | 7,542 | $50K | |
| 2021 | 5,008 | $2K | |
| 2022 | 1,005 | $113.45 | |
| 2023 | 10,325 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1126F | 67% | 590 | 590 | $49K | |
| 88141 | 8.5% | 125 | 56 | $6K | |
| 90662 | 8.3% | 155 | 155 | $6K | |
| 90715 | 5.7% | 118 | 116 | $4K | |
| 90674 | 2.4% | 156 | 92 | $2K | |
| 90686 | 1.8% | 113 | 113 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.7% | 104 | 104 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 3,030 | 3,010 | $772.28 |
| 90688 | <1% | 51 | 51 | $579.60 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 909 | 907 | $412.35 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,232 | 1,229 | $394.29 |
| 99497 | <1% | 15 | 15 | $344.45 |
47 more codes
| 97803 | <1% | 1,661 | $335.11 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 606 | $230.50 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 156 | $142.32 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,284 | $133.23 |
| 99406 | <1% | 1,539 | $65.69 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 252 | $46.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 349 | $44.56 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | $34.55 |
| 94760 | <1% | 448 | $25.04 | |
| 99442 | <1% | 55 | $24.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 423 | $22.91 |
| 81002 | <1% | 246 | $6.95 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 36 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 659 | $0.00 |
| 3017F | 0% | 599 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 76 | $0.00 |
| 3008F | 0% | 2,445 | $0.00 | |
| 1157F | 0% | 266 | $0.00 | |
| 3074F | 0% | 2,258 | $0.00 | |
| 3075F | 0% | 74 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 770 | $0.00 |
| 3014F | 0% | 133 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 954 | $0.00 |
| 1220F | 0% | 1,355 | $0.00 | |
| 99000 | 0% | 1,409 | $0.00 | |
| 1125F | 0% | 100 | $0.00 | |
| 3079F | 0% | 259 | $0.00 | |
| 1170F | 0% | 540 | $0.00 | |
| 1036F | 0% | 32 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 41 | $0.00 |
| 81000 | 0% | 53 | $0.00 | |
| 0012A | 0% | 12 | $0.00 | |
| 97802 | 0% | 13 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 24 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 109 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 35 | $0.00 |
| 3078F | 0% | 2,174 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 683 | $0.00 |
| 1159F | 0% | 911 | $0.00 | |
| 99408 | 0% | 664 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 103 | $0.00 |
| 3725F | 0% | 618 | $0.00 | |
| 1160F | 0% | 914 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 45 | $0.00 |
| 3077F | 0% | 69 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $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 officialKYAW, RICHARD (MEDICAL DIRECTOR)