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    OpenPayerNPI Medicare & MedicaidSean Horner
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    Sean Horner — Billing Profile & Reimbursement Data

    NPI 1033622709 · South Bend, IN · Physician Assistant

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    Sean Horner is a physician assistant provider located in South Bend, Indiana. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Horner
    Address2102 E Inwood Rd
    CitySouth Bend
    StateIN
    ZIP46614
    TaxonomyPhysician Assistant
    NPI EnumeratedNovember 15, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$60.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The 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…580$60$36.1K
    99349The 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…90$70$6.4K
    99308The 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…140$40$6.2K
    99305The 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…70$70$5.3K
    99490The 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…70$40$2.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$100$1.9K
    99348The 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…20$50$1K
    99439The 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…20$30$630
    G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes20$20$400

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309215730280$70$35K
    99308355690160$50$17.2K
    9934920342090$80$13.6K
    99490351510120$40$10.4K
    G04392,0422,43060$120$10.1K
    9930511828060$90$8.5K
    9934830735060$50$4.7K
    9943926829060$30$4.6K
    G039691030$20$660

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sean Horner, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    The South Bend Clinic LLCINClinic/Center$566.3K$19.3M
    Extended Care Specialists, IncINAdult Medicine Physician$0$6.2M
    Brent MohrINRheumatology Physician$1.6M$0
    Crystal WilesINFamily Nurse Practitioner$991.7K$0
    Sayuri CheruvuINMedical Oncology Physician$934.1K$0
    Holly Hake-harrisINDermatology Physician$840.9K$0
    Lisansha ZahirshaILDiagnostic Radiology Physician$665.6K$3.3K
    Todd RozyckiINDermatology Physician$633.1K$0
    Abdulrahman MasraniILDiagnostic Radiology Physician$581.5K$1.4K

    Nearby Providers

    Other providers in the same ZIP code as Sean Horner, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vav Operations LLCINCommunity/Behavioral Health Agency$0$198.8M
    Cynthia MayfieldINDermatology Physician$320K$0
    Luiz Pantalena FilhoINDermatology Physician$308.8K$0
    Walgreen CoINPharmacy$142.7K$0
    Kathleen KelleyINDermatology Physician$114.6K$0
    Heather CampionINOrthopaedic Hand Surgery Physician$61.1K$0
    John MahonINOrthopaedic Hand Surgery Physician$53.3K$0
    Jennifer BesemerINRegistered Dietitian$4K$0
    Lisa LevinINClinical Social Worker$1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Sean Horner — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana