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    OpenPayerNPI Medicare & MedicaidCurtis Horstman
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    Curtis Horstman — Billing Profile & Reimbursement Data

    NPI 1346300969 · West Plains, MO · Emergency Medicine Physician

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    Curtis Horstman is a emergency medicine physician provider located in West Plains, Missouri. This profile covers 6 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCurtis Horstman
    Address805 N Kentucky Ave
    CityWest Plains
    StateMO
    ZIP65775
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedDecember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$83.7K
    Medicaid$4.2K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.320$130$40.4K
    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.410$80$33.5K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.90$50$4.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$140$3.7K
    31500The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.10$100$1.3K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.10$60$670

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285741,230110$130$17.6K
    992911,0701,48050$160$11.3K
    9928421,25070$90$7K
    992834171020$50$1.7K
    31500326010$110$1.6K
    3655616620020$60$1.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.60$30$1.6K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.40$30$1.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.20$50$800
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.30$10$310
    87420The lab analyst performs a test to detect antigens of respiratory syncytial virus, also called RSV, using an immunoassay technique, such as EIA.10$10$160
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10$10$110
    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…10$1$40

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…312320980$40$352.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1,1621,260220$120$242.4K
    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…159160720$60$218.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.32450080$80$44.3K
    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.42583060$60$22.2K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.69996080$30$15.1K
    87420The lab analyst performs a test to detect antigens of respiratory syncytial virus, also called RSV, using an immunoassay technique, such as EIA.263030$80$7.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozarks Medical CenterMOGeneral Acute Care Hospital$0$35.8M
    Mercy Hospital LebanonMOGeneral Acute Care Hospital$0$32.6M
    Ozarks Medical CenterMOAdult Mental Health Clinic/Center$0$18.5M
    Texas County Memorial HospitalMOGeneral Acute Care Hospital$0$8.2M
    Mercy St. Francis HospitalMOCritical Access Hospital$0$6.9M
    Southern Illinois Healthcare Foundation, Inc.ILFederally Qualified Health Center (FQHC)$0$6.3M
    Burton Creek Rural Clinic, LLCMORural Health Clinic/Center$0$3.6M
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Yaqoob AliMOHematology & Oncology Physician$699.7K$0
    Dushyant VermaMOHematology & Oncology Physician$615.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Restoring Hope, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73M
    Calstar Air Medical Services LLCMOAir Ambulance$5M$23.6M
    Ozark Independent LivingMOPersonal Care Attendant$0$27.6M
    Newton's Group Home Of West Plains -islMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23.5M
    Cal-ore Life Flight LLCMOAir Ambulance$3.6M$14.1M
    Perfect Partners, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.4M
    Lets Go IncMOCommunity/Behavioral Health Agency$0$9.8M
    Howell County Sheltered Workshop BoardMOCase Management Agency$0$6.5M
    South Howell County Ambulance DistrictMOLand Ambulance$657.9K$4.6M
    Robert JonesMOOphthalmology Physician$1.6M$239K

    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. Missouri Distribution
    Curtis Horstman — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Curtis Horstman — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri