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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNeil Horner
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    Neil Horner — Billing Profile & Reimbursement Data

    NPI 1083694731 · Summit, NJ · Diagnostic Radiology Physician

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    Neil Horner is a diagnostic radiology physician provider located in Summit, New Jersey. This profile covers 13 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
    OrganizationNeil Horner
    Address99 Beauvoir Ave
    CitySummit
    StateNJ
    ZIP07901
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$19K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…90$100$8.3K
    78608In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as…60$60$3.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…350$10$2.4K
    78803The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…50$40$2.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…120$10$1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$10$300
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…30$10$280
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.30$10$220
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.30$10$220
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$10$180

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788157016060$720$83K
    7860811020$470$10.8K
    77080415450100$30$6.1K
    71045352750320$10$3.9K
    7880375020$90$2.6K
    7356240479040$30$2.3K
    710464721,17080$10$2.3K
    7350258799040$30$1.6K
    736307281,03040$20$1.6K
    730306701,06040$20$1.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John MccormickNJDiagnostic Radiology Physician$1.5M$0
    Alexander VolvovskyNYDiagnostic Radiology Physician$814.1K$0
    Neha GowaliCTDiagnostic Radiology Physician$732.6K$0
    Mark MalzbergNJBody Imaging Physician$711.3K$0
    Alan ZakheimNYVascular & Interventional Radiology Physician$249K$298.2K
    Rita YeretsianNYStudent in an Organized Health Care Education/Training Program$542.5K$0
    Atlantic Imaging Services LLCNJDiagnostic Radiology Physician$487.5K$90
    Philip McdonaldFLDiagnostic Radiology Physician$444.3K$42.8K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K
    Sean EnisNJGeneral Practice Physician$439.4K$12.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahs Hospital Corp.NJGeneral Acute Care Hospital$0$125.2M
    Emergency Physician Associates Of North Jersey P CNJEmergency Medicine Physician$0$16.5M
    Mark KrellNJCardiovascular Disease Physician$448.6K$0
    John WilliamsNJDermatology Physician$315K$0
    John WerringNJDiagnostic Radiology Physician$209.8K$0
    Miles LevinNJAnatomic Pathology & Clinical Pathology Physician$207.8K$0
    Prabha PaiNJAnatomic Pathology & Clinical Pathology Physician$199.5K$0
    Christine StahlNJNeurology Physician$190.4K$0
    Hamid BagceNJDiagnostic Radiology Physician$164.2K$730
    Edward DimitryNJPulmonary Disease Physician$160.5K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Neil Horner — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey