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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Charles Horn (NPI 1962774729)

Field	Value
Entity Type	Individual
Organization	Charles Horn
Address	6000 Us-98
City	Pensacola
State	FL
ZIP	32512
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	February 8, 2012

Payer Source	Total Paid
Medicare	$12.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in cross-sectional CT imaging: the top three Medicare codes are 74177, 74176, and 70450, and those three codes together account for 68.4% of the provider’s total Medicare revenue. The single largest line item is 74177 (CT abdomen and pelvis with contrast), which drives $5.2K of the $12.5K total Medicare revenue (41.4%) and appears to be the primary revenue engine for the practice.

Dollar scale is small: lifetime Medicare revenue is $12.5K and there is no Medicaid billing on file, so this provider operates effectively as a Medicare-only biller in the available data. The absence of any Medicaid claims means in-state Medicaid market share or behavior cannot be evaluated for this NPI.

74177 shows a moderate national footprint for this code: 80 claims at $65 avg paid/claim produced $5.2K and the provider ranks #14468 of 23621 nationally (38th percentile; typical, unremarkable volume for this code). Both 74176 and 70450 are lower-volume nationally (74176 ranks #17332 of 22168, 21th percentile; 70450 ranks #16651 of 21092, 21th percentile), which indicates the provider is a modest national participant on its primary CT code mix rather than a regional or national leader.

Operational mix evidence: the top codes (74177, 74176, 70450, and 71260) are all CT procedures (abdomen/pelvis, head, and thorax), suggesting the provider’s work consists predominantly of diagnostic CT studies rather than interventional radiology or ultrasound. This pattern — multiple CT chest/abdomen/head codes among the highest-revenue items — is consistent with a diagnostic radiology practice or reading arrangement focused on cross-sectional imaging.

Revenue concentration is high within Medicare: one code alone (74177) accounts for 41.4% of Medicare revenue and the top three codes account for 68.4% of Medicare revenue, indicating financial exposure to volume or reimbursement changes in a small set of CT services. This concentration suggests that shifts in utilization or payment for abdominal/pelvic CTs would materially affect the provider’s Medicare revenue.

Several lower-reimbursement imaging services show higher claim counts but limited revenue impact: for example, 71045 (single-view chest X-ray) records 126 claims at $6 avg paid/claim yielding $756 (6.0% of Medicare revenue), indicating routine radiography is performed frequently but contributes modestly to overall Medicare dollars compared with CT. Similarly, a handful of spine, thorax, and extremity CT/X-ray codes each represent small single-digit shares of revenue, reinforcing the CT-heavy revenue profile.

Competitive standing across the listed codes is uniformly described as "typical, unremarkable volume": most ranks fall in low-to-mid percentiles (for example, 71260 at the 29th percentile, 71045 at the 26th percentile, 72125 at the 15th percentile), which characterizes the provider as a modest-volume, locally functioning diagnostic radiologist rather than a high-volume imaging center. There are no codes among the top list labeled as unusually high or extreme outliers in national volume, so the provider does not appear to be a major national competitor for these services.

The NPI tenure is long enough to establish a persistent pattern: NPI enumerated 2012-02-08 (~14 years ago), indicating the provider has reported Medicare activity under this NPI for over a decade. That tenure, combined with a small, CT-focused Medicare revenue base and no Medicaid billing on file, points to a steady, narrow-scope diagnostic imaging practice rather than a recently established or rapidly expanding operation.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	80	$70	$5.2K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	30	$60	$1.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	50	$30	$1.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	30	$40	$1.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	130	$10	$760
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	20	$30	$730
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	20	$40	$650
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	20	$10	$180
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	20	$10	$140
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	20	$10	$130

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Charles Horn — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	4	1,480	100	$100	$14.4K
74176	4	1,510	80	$80	$8.6K
70450	4	1,380	190	$30	$8.6K
71250	4	1,510	80	$60	$8.3K
71260	4	1,220	40	$60	$4.9K
71045	4	1,500	480	$10	$4.6K
72125	5	1,100	70	$40	$3.5K
73630	4	2,130	50	$20	$2K
73502	3	2,260	50	$20	$1.9K
73130	4	1,380	30	$20	$1.5K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Howard Nelson	WA	Diagnostic Radiology Physician	$429K	$0
Jason Davis	IL	Diagnostic Ultrasound Physician	$233.5K	$79.1K
Hunter Wasserman	MO	Diagnostic Radiology Physician	$285K	$0
Harmindar Gill	FL	Diagnostic Radiology Physician	$268.1K	$0
Ali Alikhani	VA	Vascular & Interventional Radiology Physician	$233.6K	$0
Billy Blackmon	GA	Diagnostic Radiology Physician	$221.9K	$0
Sanjay Kedia	MA	Diagnostic Radiology Physician	$220.2K	$390
Sean Takeuchi	NE	Diagnostic Radiology Physician	$207.6K	$260
Santosh Shah	IA	Diagnostic Radiology Physician	$197.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Hoffman	FL	Clinical Psychologist	$90.2K	$0
James Wold	FL	Audiologist	$29.2K	$0

Charles Horn — Billing Profile & Reimbursement Data

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Charles Horn — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References