Physician

Michael S Hortner, MD

According to 2025 Medicare claims, Michael Hortner, MD (NPI: 1538236674) practices undersea and hyperbaric medicine in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Bucks, PA. This provider's primary affiliated billing organization is ST LUKE'S PHYSICIAN GROUP, INC (NPI: 1356051825; TIN: 232380812) and primary practice location at 18951-0130. Hortner is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560), participating under the MSSP model.

Hortner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 210 traditional Medicare patients, billed 605 HCPCS/CPT codes, and received $32,534 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 70 prescription claims across 42 beneficiaries totaling $5,430 in drug costs, led by Ammonium Lactate (Ammonium Lactate). DME data shows 265 claims. No Open Payments records. 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's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $59,203 and ending at $32,534. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $10,613 and ending at $5,430. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $26,265 and ending at $134,255.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	240	1,319	$59,203
2016	206	1,450	$66,411
2017	157	1,127	$44,842
2018	204	1,247	$55,482
2019	226	1,221	$59,982
2020	243	1,432	$67,557
2021	217	1,599	$86,193
2022	254	1,549	$76,517
2023	295	1,354	$71,349
2024	210	605	$32,534

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	73	174	$10,613
2016	61	168	$12,583
2017	52	112	$5,343
2018	69	163	$9,128
2019	58	109	$4,737
2020	95	180	$8,538
2021	97	191	$12,460
2022	90	189	$15,848
2023	67	163	$16,287
2024	42	70	$5,430

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	69	$16,300
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	13	31	$2,761
2019	N/R	70	$13,599
2020	68	77	$3,642
2021	59	118	$6,191
2022	106	180	$18,526
2023	64	142	$19,707
2024	251	265	$149,081

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$113
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	82	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	88	108	$55
11042	Removal of skin and tissue, 20.0 sq cm or less	75	128	$51
97597	Removal of tissue from wound, 20.0 sq cm or less	35	47	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ammonium Lactate	Ammonium Lactate	13	370	$222

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	102	102	$95,380
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	102	102	$22,242
L3916	Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf	N	12	12	$10,454
L1852	Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf	N	12	12	$10,428
L0651	Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf	N	12	12	$7,375

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Michael S. Hortner, MD?

Tedicare shows public-source Medicare data for Michael S. Hortner, MD (NPI 1538236674), 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 Michael S. Hortner, MD have ACO affiliation data?

Michael S. Hortner, MD is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560).

What billing organization is linked to Michael S. Hortner, MD?

Michael S. Hortner, MD is linked to ST LUKE'S PHYSICIAN GROUP, INC (billing NPI 1356051825) in the available physician profile data.

Does Michael S. Hortner, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.