Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 244 | 253 | $90,106 | $25,629 |
| 2022 | 2 | 209 | 226 | $87,920 | $25,925 |
| 2021 | 3 | 287 | 312 | $109,044 | $31,142 |
| 2020 | 3 | 274 | 311 | $101,249 | $27,240 |
All Medicare Procedures & Services
12 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | Facility | 2023 | 92 | 95 | $42,370 | $12,962 | 30.6% |
| 99284 | Emergency department visit with moderate level of medical decision making | Facility | 2023 | 125 | 130 | $42,900 | $11,446 | 26.7% |
| 99283 | Emergency department visit with low level of medical decision making | Facility | 2023 | 15 | 16 | $3,360 | $832.80 | 24.8% |
| 99282 | Emergency department visit with straightforward medical decision making | Facility | 2023 | 12 | 12 | $1,476 | $387.84 | 26.3% |
| 99285 | Emergency department visit for life threatening or functioning severity | Facility | 2022 | 108 | 115 | $51,290 | $15,956 | 31.1% |
| 99284 | Emergency department visit for problem of high severity | Facility | 2022 | 101 | 111 | $36,630 | $9,969 | 27.2% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2021 | 195 | 215 | $70,950 | $19,204 | 27.1% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2021 | 76 | 81 | $36,126 | $11,429 | 31.6% |
| 99282 | Emergency department visit, low to moderately severe problem | Facility | 2021 | 16 | 16 | $1,968 | $509.10 | 25.9% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2020 | 234 | 270 | $89,100 | $23,631 | 26.5% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2020 | 22 | 22 | $9,812 | $3,110 | 31.7% |
| 99282 | Emergency department visit, low to moderately severe problem | Facility | 2020 | 18 | 19 | $2,337 | $498.88 | 21.3% |
About Dr. David Horton, MD
Dr. David Horton, MD is a Family Medicine healthcare provider based in Everett, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/11/2006. The National Provider Identifier (NPI) number assigned to this provider is 1972663029.
As a Medicare-enrolled provider, Horton has provided services to 1,014 Medicare beneficiaries, totaling 1,102 services with total Medicare billing of $109,936. Data is available for 4 years (2020–2023), covering 12 distinct procedure/service records.
Practice Information
- Specialty Family Medicine
- Location Everett, PA
- Active Since 12/11/2006
- Last Updated 07/08/2007
- Taxonomy Code 207Q00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1972663029
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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