Physician
Horizon Pediatrics PC
Horizon Pediatrics PC was paid $858K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoHORIZON PEDIATRICS PC
TIGARD, OR 97223
TIGARD, OR 97223
33aNPI1871750919assigned 05/16/2008
33bProvider typePediatrics Physician
28Total paid$858K
24GClaims18,332
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#21 of 87
Median peer was paid$147K
This provider vs. median5.8×
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 | 3,360 | $168K | |
| 2019 | 3,294 | $173K | |
| 2020 | 1,855 | $89K | |
| 2021 | 2,221 | $94K | |
| 2022 | 2,997 | $131K | |
| 2023 | 2,913 | $122K | |
| 2024incomplete | 1,692 | $80K |
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 | 41% | 4,954 | 4,450 | $355K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,469 | 1,371 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,121 | 987 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 895 | 836 | $84K |
| 90686 | 4.6% | 2,015 | 1,902 | $40K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 233 | 207 | $21K |
| 92551 | 2.4% | 1,998 | 1,822 | $20K | |
| 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 | 2.1% | 167 | 157 | $18K |
| 90670 | 2.1% | 691 | 642 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 395 | 382 | $17K |
| 54150 | <1% | 40 | 38 | $6K | |
| 90723 | <1% | 261 | 258 | $6K |
27 more codes
| 90647 | <1% | 296 | $5K | |
| 99173 | <1% | 1,908 | $4K | |
| 90685 | <1% | 204 | $4K | |
| 90633 | <1% | 247 | $4K | |
| 90716 | <1% | 165 | $3K | |
| 90707 | <1% | 161 | $3K | |
| 90697 | <1% | 187 | $3K | |
| 90671 | <1% | 104 | $2K | |
| 90681 | <1% | 82 | $2K | |
| 90656 | <1% | 79 | $2K | |
| 0072A | <1% | 40 | $2K | |
| 0071A | <1% | 34 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 56 | $1K |
| 90658 | <1% | 54 | $907.75 | |
| 90651 | <1% | 43 | $834.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $565.47 |
| 90461 | <1% | 12 | $404.95 | |
| 90688 | <1% | 17 | $285.48 | |
| 90672 | <1% | 14 | $285.48 | |
| 90734 | <1% | 18 | $269.01 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $176.85 |
| 96160 | <1% | 31 | $86.22 | |
| 91307 | <1% | 96 | $50.00 | |
| 96161 | <1% | 12 | $30.00 | |
| 99070 | 0% | 40 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 104 | $0.00 |
| 64450 | 0% | 40 | $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 officialAL-MULLA, ZAID (PRESIDENT)