Physician

Alexander A Horbal, D.O.

According to 2025 Medicare claims, Alexander Horbal, D.O. (NPI: 1508166984) practices internal medicine in the Bay City, MI market, with the plurality of this provider's patient population coming from Bay, MI. This provider's primary affiliated billing organization is ALEXANDER A HORBAL DO PLC (NPI: 1467020040; TIN: 862580377) and primary practice location at 48640-4712. Horbal is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Horbal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 405 traditional Medicare patients, billed 9,392 HCPCS/CPT codes, and received $74,686 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,201 prescription claims across 374 beneficiaries totaling $93,954 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 17 claims. Open Payments data shows 2 records totaling $27. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,674 to $93,954. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$39K$79K2022 Medicare payment: $78,667 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $76,730 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $74,686 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20223518,577$78,667
20233939,491$76,730
20244059,392$74,686

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$47K$94K2016 Drug cost: $4,674 (USD; Tot_Drug_Cst)2017 Drug cost: $35,430 (USD; Tot_Drug_Cst)2018 Drug cost: $36,474 (USD; Tot_Drug_Cst)2019 Drug cost: $34,038 (USD; Tot_Drug_Cst)2020 Drug cost: $18,232 (USD; Tot_Drug_Cst)2021 Drug cost: $21,270 (USD; Tot_Drug_Cst)2022 Drug cost: $12,891 (USD; Tot_Drug_Cst)2023 Drug cost: $63,590 (USD; Tot_Drug_Cst)2024 Drug cost: $93,954 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20162165$4,674
201776296$35,430
2018109384$36,474
201987322$34,038
202044169$18,232
202144100$21,270
2022185462$12,891
2023279907$63,590
20243741,201$93,954

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$220$4402024 Medicare payment: $440 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R17$440

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more7676$118
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more351429$61
95115Professional service for single injection of allergen124137$7
95024Test for allergy using allergenic extract injected into skin681,004$6
95004Test for allergy using allergenic extract936,643$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter20660$14,010
Breo ElliptaFluticasone/Vilanterol16960$12,435
Breztri AerosphereBudesonide/Glycopyr/Formoterol13630$11,550
Azelastine HclAzelastine Hcl18410,608$4,312
Qvar RedihalerBeclomethasone Dipropionate12660$3,394

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R17$440

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$27Takeda Pharmaceuticals U.S.A., Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Alexander A. Horbal, D.O.?

Tedicare shows public-source Medicare data for Alexander A. Horbal, D.O. (NPI 1508166984), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Alexander A. Horbal, D.O. have ACO affiliation data?

Alexander A. Horbal, D.O. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Alexander A. Horbal, D.O.?

Alexander A. Horbal, D.O. is linked to ALEXANDER A HORBAL DO PLC (billing NPI 1467020040) in the available physician profile data.

Does Alexander A. Horbal, D.O. have Open Payments data?

Alexander A. Horbal, D.O. has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.