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    OpenPayerNPI Medicare & MedicaidDavid Horn
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    David Horn — Billing Profile & Reimbursement Data

    NPI 1255727947 · Albuquerque, NM · Emergency Medicine Physician

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    David Horn is a emergency medicine physician provider located in Albuquerque, New Mexico. 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
    OrganizationDavid Horn
    AddressMsc 11 6025
    CityAlbuquerque
    StateNM
    ZIP87131
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedApril 9, 2015

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

    Payer SourceTotal Paid
    Medicare$17.1K
    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
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.70$90$5.5K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.40$130$4.7K
    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…30$90$2.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$130$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…20$70$1.2K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc20$50$920
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.20$10$290
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.20$10$140
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…10$1$30

    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
    9928529541080$130$14.5K
    992142,2822,70090$70$12.9K
    9921582996040$110$7.8K
    992132,1502,44060$50$7.3K
    9928418446050$90$6.1K
    93010213270100$10$1.6K
    U000241020$50$1.3K
    87804698040$20$770
    8100220021030$1$210

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Professional Services PCAZEmergency Medicine Physician$0$30.5M
    Hawaii Emergency Physicians Associated IncHIEmergency Medicine Physician$0$20.2M
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Vinh TrangWAHematology & Oncology Physician$280.9K$0
    Brandon MasonOKDiagnostic Radiology Physician$277.6K$0
    Carrie FitzgeraldNJUrology Physician$227.8K$0
    Jonathan FarrellRIEmergency Medicine Physician$166.6K$0
    John FunaiHICardiovascular Disease Physician$166.3K$0
    Anthony WongPAEmergency Medicine Physician$164.2K$0
    Andrew SoPACardiovascular Disease Physician$148.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carl GilmoreNMOrthopaedic Surgery Physician$171.3K$0
    Andrew BrunerNMDiagnostic Radiology Physician$128.8K$920
    Edo AvochinouNMInternal Medicine Physician$125.6K$0
    William SchaefferNMVascular & Interventional Radiology Physician$125.3K$0
    Kurt PedrottyNMDiagnostic Radiology Physician$118.7K$0
    Wallace GladdenNMPhysical Medicine & Rehabilitation Physician$113.5K$0
    David MartinNMAnatomic Pathology & Clinical Pathology Physician$109K$0
    Reuel MeasomNMInterventional Pain Medicine Physician$106.2K$0
    Jennifer PohlNMDiagnostic Radiology Physician$105.6K$0
    Eddie BrownNMCardiovascular Disease Physician$104.2K$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 Mexico Distribution
    David Horn — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico