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NPI 1033102520 · Scranton, PA · Physical Medicine & Rehabilitation Physician
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Paul Horchos is a physical medicine & rehabilitation physician provider located in Scranton, Pennsylvania. This profile covers 13 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Horchos |
| Address | 5 Morgan Hwy |
| City | Scranton |
| State | PA |
| ZIP | 18508 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | August 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $205K |
| Medicaid | $91.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 23,200 | $10 | $116K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 530 | $60 | $31.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 290 | $90 | $25.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 90 | $120 | $10.8K |
| 64616 | The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical… | 60 | $120 | $7K |
| 64615 | The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the… | 60 | $110 | $6.5K |
| 64642 | The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms. | 50 | $100 | $5.5K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 30 | $50 | $1.4K |
| 99442 | N/A | 20 | $60 | $1.3K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 10 | $100 | $1.1K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 11 | 140 | 7,600 | $1 | $47.7K |
| 99214 | 4,379 | 23,230 | 100 | $80 | $14.5K |
| 99213 | 880 | 22,370 | 70 | $60 | $7.7K |
| 64616 | 12 | 50 | 40 | $130 | $6.8K |
| 99305 | 572 | 600 | 40 | $100 | $6.8K |
| 20610 | 1,459 | 1,980 | 60 | $50 | $6.7K |
| 64615 | 25 | 80 | 50 | $100 | $5.8K |
| 64642 | 7 | 30 | 30 | $90 | $5.2K |
| 99204 | 1,166 | 10,290 | 30 | $110 | $5K |
| 99442 | 383 | 800 | 20 | $50 | $2.3K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,510 | $30 | $46.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 830 | $50 | $41.3K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 40 | $80 | $3.4K |
| 1101F | No Summary found for this code | 10 | $0 | $0 |
| 3288F | No Summary found for this code | 100 | $0 | $0 |
| G8482 | Influenza immunization administered or previously received | 260 | $0 | $0 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or… | 1,250 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 1,550 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 1,540 | $0 | $0 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 100 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,064 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,491 | 8,870 | 240 | $40 | $56.1K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 837 | 1,410 | 60 | $90 | $30.5K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 8 | 60 | 150 | $1 | $400 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 7 | 50 | 150 | $1 | $370 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or… | 5 | 30 | 90 | $1 | $30 |
| G8482 | Influenza immunization administered or previously received | 17 | 70 | 80 | $1 | $10 |
| 1101F | No Summary found for this code | 91 | 100 | 60 | $0 | $0 |
| 3288F | No Summary found for this code | 40 | 130 | 40 | $0 | $0 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 14 | 40 | 40 | $0 | $0 |
Showing 1–10 of 11
Other providers in the same ZIP code as Paul Horchos, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Geisinger Clinic | PA | Addiction (Substance Use Disorder) Psychologist | $0 | $5.8M |
| Crystal Vision Center, Inc. | PA | Eyewear Supplier | $0 | $5.7M |
| John Doherty | PA | Orthopaedic Surgery Physician | $207.1K | $0 |
| Tracey Galardi | PA | Internal Medicine Physician | $193.5K | $0 |
| William Brown | PA | Foot Surgery Podiatrist | $168.1K | $19.8K |
| Kevin Colleran | PA | Orthopaedic Surgery Physician | $167.7K | $0 |
| Thomas Roe | PA | Cardiovascular Disease Physician | $166.2K | $0 |
| Daniel Kazmierski | PA | Family Medicine Physician | $145.6K | $0 |
| Shahroon Choudhry | PA | Family Medicine Physician | $120.8K | $0 |
| Jeffrey Blum | PA | Diagnostic Radiology Physician | $96.4K | $0 |
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