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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJennifer Horne
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    Jennifer Horne — Billing Profile & Reimbursement Data

    NPI 1174191571 · Springfield, MA · Physician Assistant

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    Jennifer Horne is a physician assistant provider located in Springfield, Massachusetts. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJennifer Horne
    Address50 Maple St
    CitySpringfield
    StateMA
    ZIP01103
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 14, 2021

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

    Payer SourceTotal Paid
    Medicare$17.4K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…90$80$7.2K
    99213The 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…130$50$6.7K
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…40$40$1.5K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.130$10$1K
    87086Culture, bacterial; quantitative, colony count, urine.50$10$430
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…110$1$220
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…70$1$200
    P9612Catheterization for collection of specimen, single patient, all places of service10$10$90

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,45315,410110$80$15.6K
    992134,52613,70070$60$8.8K
    870864235030$10$2.7K
    51798138250150$10$2.1K
    810016219030$1$2K
    517024311030$50$2K
    P961281030$10$470
    810031561,15030$1$220

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K
    Lucian NevilleMACardiovascular Disease Physician$484.7K$0
    Amir MohaniMAInterventional Cardiology Physician$297.7K$0
    Nitin BhatnagarMACardiovascular Disease Physician$220.9K$12K
    Mohammad KashefMAInterventional Cardiology Physician$202.8K$2.6K
    Mohammed IbrahimMAInterventional Cardiology Physician$194.2K$0
    Ashequl IslamMAInterventional Cardiology Physician$150.4K$2.4K
    Amir LotfiMAInterventional Cardiology Physician$102.3K$11K
    Andrea CareyMAFamily Nurse Practitioner$58K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Services Institute, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$32.1M
    Metrocare Of SpringfieldMAHome Health Agency$0$31.3M
    Caring Health Center, Inc.MAFederally Qualified Health Center (FQHC)$0$23.2M
    Baystate Dental Practice, LLCMAGeneral Practice Dentistry$0$22.5M
    A Better Life Homecare LLCMAHome Health Agency$0$21.8M
    Sunrise Behavioral Health Clinic, LLCMACommunity/Behavioral Health Agency$0$19.1M
    Allied Health Systems. LLCMAHome Health Agency$0$17.3M
    A Better Life Homecare LLCMAFoster Care Agency$0$16.7M
    Metrocare Of Springfield LLCMAHome Health Agency$0$16.5M
    Right Choice Health Group LLCMAAddiction Medicine (Internal Medicine) Physician$0$11.9M

    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. Massachusetts Distribution
    Jennifer Horne — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts