Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Brian Horn (NPI 1518922574)

Field	Value
Entity Type	Individual
Organization	Brian Horn
Address	230 Beiser Blvd
City	Dover
State	DE
ZIP	19904
Taxonomy	Family Medicine Physician
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicare	$174.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	800	$90	$69.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	$130	$31.5K
99213	The 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…	460	$60	$27.8K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	120	$70	$8.6K
G0008	Administration of influenza virus vaccine	160	$30	$5.1K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	260	$20	$4.9K
G0444	Annual depression screening, 5 to 15 minutes	250	$20	$4.8K
99204	The provider sees a new 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 provider…	40	$110	$4.7K
99215	The 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…	30	$140	$4.1K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	20	$240	$3.6K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Brian Horn — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	177	1,830	150	$80	$25.5K
G0439	88	490	90	$120	$17.2K
99213	240	1,810	120	$60	$13.6K
99215	352	570	40	$120	$11K
90662	68	270	60	$70	$6.5K
99204	409	950	30	$110	$6.5K
G0438	88	90	20	$150	$4.8K
G0008	127	410	80	$30	$4.1K
G0402	41	110	20	$160	$3.1K
90670	1	10	10	$250	$3K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southside Family Practice, P.A.	DE	Family Medicine Physician	$0	$503K
Lisa Reid	DE	Family Medicine Physician	$107K	$0

Brian Horn — Billing Profile & Reimbursement Data

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Brian Horn — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References