Physician
American Horizon Medical PLLC
American Horizon Medical PLLC was paid $418K by Medicaid between Mar 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoAMERICAN HORIZON MEDICAL PLLC
WATERVLIET, NY 12189
WATERVLIET, NY 12189
33aNPI1922278035assigned 03/04/2008
33bProvider typeInternal Medicine Physician
28Total paid$418K
24GClaims17,897
24DCodes billed30
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#532 of 6,049
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 | |
|---|---|---|---|
| 2020 | 1,897 | $58K | |
| 2021 | 2,213 | $74K | |
| 2022 | 2,691 | $82K | |
| 2023 | 5,420 | $109K | |
| 2024incomplete | 5,676 | $96K |
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 | 54% | 3,882 | 3,584 | $227K |
| 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 | 32% | 1,698 | 1,654 | $135K |
| 90674 | 3.5% | 464 | 464 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 656 | 642 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 128 | 127 | $10K |
| 99408 | 1.6% | 855 | 855 | $7K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 751 | 750 | $5K |
| 90661 | <1% | 110 | 108 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | 38 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | 25 | $795.56 |
| 96127 | <1% | 633 | 633 | $654.40 | |
| 93000 | <1% | 83 | 62 | $622.51 |
18 more codes
| 92250 | <1% | 12 | $276.41 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 427 | $80.00 |
| 82947 | <1% | 12 | $34.20 | |
| 3074F | <1% | 1,847 | $0.02 | |
| 3078F | <1% | 1,751 | $0.02 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 100 | $0.00 |
| 1126F | 0% | 161 | $0.00 | |
| 3079F | 0% | 335 | $0.00 | |
| 1101F | 0% | 163 | $0.00 | |
| 1170F | 0% | 163 | $0.00 | |
| 3075F | 0% | 41 | $0.00 | |
| 1158F | 0% | 177 | $0.00 | |
| 1159F | 0% | 1,565 | $0.00 | |
| 99072 | 0% | 57 | $0.00 | |
| 1090F | 0% | 160 | $0.00 | |
| 1160F | 0% | 1,519 | $0.00 | |
| 3077F | 0% | 68 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 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 officialEFFENDI, TAHIR (OWNER)