Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Horizon Internal Medicine PLLC (NPI 1033353941)

Horizon Internal Medicine PLLC is a internal medicine physician provider located in High Point, North Carolina. This profile covers 0 Medicare and 139 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Horizon Internal Medicine PLLC
Address	1380 Eastchester Dr Ste 105
City	High Point
State	NC
ZIP	27265
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 22, 2009

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	22,900	$60	$1.3M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	45,700	$20	$1.1M
99335	N/A	25,280	$20	$455K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	20,600	$20	$329.5K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	46,770	$10	$280.6K
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…	13,900	$20	$278K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,040	$50	$214.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	12,830	$20	$205.3K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	9,260	$20	$203.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	33,800	$10	$202.8K

Showing 1–10 of 139

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Horizon Internal Medicine PLLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	137	360	1,830	$40	$819.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	295	520	2,870	$70	$721.7K
0241U	N/A	64	140	1,140	$150	$510.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	846	2,850	10,910	$10	$330.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	16	160	270	$10	$316.7K
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…	146	4,400	960	$60	$271.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	94	290	1,720	$10	$248.2K
99336	N/A	13	70	1,150	$30	$243.8K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	14	30	430	$80	$236.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	110	140	3,810	$30	$223.5K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Imran Haque	NC	Internal Medicine Physician	$2.7M	$0
Niara Wright	NC	Foot Surgery Podiatrist	$153K	$0
Jennifer Hagan	NC	Adult Health Nurse Practitioner	$147K	$0
Murugananthan Subbiah	NC	Internal Medicine Physician	$135.4K	$0
Sheikh Tejan-sie	NC	Internal Medicine Physician	$121.5K	$0
Jennifer Linney	NC	Nurse Practitioner	$62.2K	$0
Robert George	NC	Family Nurse Practitioner	$9.7K	$0
Mindy Parks	NC	Nurse Practitioner	$4.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simoncic Dds PLLC	NC	Oral and Maxillofacial Surgery Clinic/Center	$0	$31.8M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.5M
Advanced Home Care, Inc.	NC	Oxygen Equipment & Supplies (DME)	$0	$9M
Triad Pediatrics, PC	NC	Pediatrics Physician	$0	$8M
Premier Home Health Care Services, Inc.	NC	Home Health Agency	$0	$7.3M
Premier Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$205.8K	$42.6K
Moogali Arvind	NC	Internal Medicine Physician	$218.9K	$0
Karla Smith	NC	Family Medicine Physician	$114K	$0
Lisa Wooding	NC	Occupational Therapist	$56.8K	$0
David Moore	NC	Otolaryngology Physician	$36.5K	$0

Horizon Internal Medicine PLLC — Billing Profile & Reimbursement Data

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Horizon Internal Medicine PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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