Physician

Robert M Horth, M.D.

According to 2025 Medicare claims, Robert Horth, M.D. (NPI: 1699768259) practices cardiology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is FROEDTERT MANITOWOC MEDICAL GROUP, LLC (NPI: 1437829975; TIN: 871785388) and primary practice location at 53081-1988. Horth is affiliated with the Froedtert & The Medical College of Wisconsin ACO, LLC (ACO ID: A4825), participating under the MSSP model.

Horth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,085 traditional Medicare patients, billed 2,585 HCPCS/CPT codes, and received $80,070 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,121 prescription claims across 437 beneficiaries totaling $516,885 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 11 claims. Open Payments data shows 29 records totaling $595. 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 fallen sharply in recent years, from $149,247 to $80,070. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $341,683 and ending at $516,885. 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.

Year	Patients	Clm Lines	Payment
2015	670	5,777	$149,247
2016	654	4,751	$136,571
2017	573	4,228	$149,022
2018	566	4,029	$132,506
2019	575	3,901	$132,171
2020	514	2,887	$98,328
2021	509	2,944	$127,982
2022	306	901	$30,743
2023	458	1,279	$63,620
2024	1,085	2,585	$80,070

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	533	5,638	$341,683
2016	589	6,091	$400,834
2017	578	6,260	$408,591
2018	599	6,453	$382,154
2019	619	6,451	$390,942
2020	614	6,327	$498,105
2021	653	6,477	$591,563
2022	556	3,156	$332,577
2023	291	1,809	$243,461
2024	437	3,121	$516,885

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	27	$1,111
2016	N/R	12	$49
2017	N/R	N/R	N/R
2018	N/R	11	$282
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	236	$90
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	207	388	$56
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	239	251	$45
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	321	358	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	605	856	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	210	10,565	$195,229
Entresto	Sacubitril/Valsartan	69	3,900	$86,112
Xarelto	Rivaroxaban	38	2,660	$48,344
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	47	1,650	$34,574
Repatha Sureclick	Evolocumab	47	1,764	$34,428

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	29	$595	Lexicon Pharmaceuticals, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Robert M. Horth, M.D.?

Tedicare shows public-source Medicare data for Robert M. Horth, M.D. (NPI 1699768259), 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 Robert M. Horth, M.D. have ACO affiliation data?

Robert M. Horth, M.D. is shown with ACO affiliation data for Froedtert & The Medical College of Wisconsin ACO, LLC (MSSP, ACO ID A4825).

What billing organization is linked to Robert M. Horth, M.D.?

Robert M. Horth, M.D. is linked to FROEDTERT MANITOWOC MEDICAL GROUP, LLC (billing NPI 1437829975) in the available physician profile data.

Does Robert M. Horth, M.D. have Open Payments data?

Robert M. Horth, M.D. has 29 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.