Physician
Horizon Healthcare Center LLC
Horizon Healthcare Center LLC was paid $1.00M by Medicaid between Jan 2018 and Dec 2021, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoHORIZON HEALTHCARE CENTER LLC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1932149622assigned 06/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.00M
24GClaims35,730
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#34 of 231
Median peer was paid$77K
This provider vs. median13×
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 | 10,806 | $286K | |
| 2019 | 9,062 | $269K | |
| 2020 | 8,480 | $254K | |
| 2021 | 7,382 | $192K |
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 | 61% | 21,556 | 17,460 | $609K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 25% | 9,401 | 5,602 | $254K |
| 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 | 7.5% | 1,757 | 1,595 | $75K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 259 | 247 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 213 | 198 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 190 | 178 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 396 | 346 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 580 | 565 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 514 | 372 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 254 | 217 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 38 | 28 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 27 | 24 | $1K |
6 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 16 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $838.96 |
| 81002 | <1% | 420 | $426.25 | |
| 81025 | <1% | 61 | $323.74 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 13 | $22.83 |
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 officialUNDERWOOD, BRITTANY (CREDENTIALING AGENT)
| Provider | Location | Paid |
|---|---|---|
| Madison Primary Care, LLC | Richmond, KY | $2.90M |
| Clark Medical Ventures, LLC | Winchester, KY | $237K |
| Primary Care of the Bluegrass, LLC | Crab Orchard, KY | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.