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    OpenPayerNPI Medicare & MedicaidSharon Horton
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    Sharon Horton — Billing Profile & Reimbursement Data

    NPI 1538153960 · Batavia, IL · MOHS-Micrographic Surgery Physician

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    Sharon Horton is a mohs-micrographic surgery physician provider located in Batavia, Illinois. This profile covers 31 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
    OrganizationSharon Horton
    Address1049 E Wilson St
    CityBatavia
    StateIL
    ZIP60510
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedAugust 31, 2005

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

    Payer SourceTotal Paid
    Medicare$965K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…340$570$191.6K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3,190$30$89.4K
    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…1,400$60$88.4K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.230$350$81.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…820$90$70.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.990$60$59.3K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…980$40$42K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…930$40$40.7K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.930$40$34.3K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.100$340$33.3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173113480230$450$144K
    173122380150$330$61.8K
    8830529580610$30$38.2K
    17313316050$450$34K
    13132178050$220$18.8K
    9921418,41318,540110$80$17.1K
    131211710030$240$12.6K
    17314144030$320$12.5K
    1310176030$260$10.5K
    120322020030$210$10.3K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer Bellucci JacksonILFamily Medicine Physician$260.2K$18.9M
    Gregory RetzingerOHClinical Pathology/Laboratory Medicine Physician$43K$12.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Jonathan ParkerILFamily Medicine Physician$356.8K$4.3M
    Ajay PatelILAnatomic Pathology & Clinical Pathology Physician$65.4K$4.2M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    John MichaelILOphthalmology Physician$2M$1.9M
    Rumya RaoILRetina Specialist (Ophthalmology) Physician$1.7M$2M
    Veerpal SinghILHematology & Oncology Physician$3.4M$67.3K
    Noorun KhanILInternal Medicine Physician$272.1K$3.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Philip BranshawILInternal Medicine Physician$255.2K$3K
    Catherine YoussefILFamily Medicine Physician$248K$0
    Reena ShahILInternal Medicine Physician$181.5K$0
    Michael FolkertsILCertified Registered Nurse Anesthetist$163.3K$0
    Erica WilsonILSpeech-Language Pathologist$53.8K$0
    Ashley GonzalezILFamily Nurse Practitioner$44K$9.3K

    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. Illinois Distribution
    Sharon Horton — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois