Horizon Medical Associates

Horizon Medical Associates was paid $5K by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 51% of everything it billed.

33Billing provider infoHORIZON MEDICAL ASSOCIATES
SPARTANBURG, SC 29303

33aNPI1831617299assigned 09/06/2017

33bProvider typeRheumatology Physician

28Total paid$5K

24GClaims443

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Rheumatology Physician providers in South Carolina

Rank by total paid#14 of 17

Median peer was paid$33K

This provider vs. median0.2×

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	399	$4K
2019	44	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	51%	198	144	$3K
36000		19%	59	40	$1K
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	14%	12	12	$760.18
99070		7.5%	62	41	$399.87
96361	Intravenous infusion, hydration; each additional hour	7.5%	40	26	$398.21
J7050	Infusion, normal saline solution, 250 cc	<1%	72	43	$25.06

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 officialCURRAN, COLIN (MD)