Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Owensboro › NPI 1063966778
Physician

Roshan K Mathew, MD. P.S.C.

Roshan K Mathew, MD. P.S.C. was paid $118K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.

33Billing provider infoROSHAN K MATHEW, MD. P.S.C.
OWENSBORO, KY 42303
33aNPI1063966778assigned 08/10/2016
28Total paid$118K
24GClaims24,043
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Kentucky

Rank by total paid#6 of 12
Median peer was paid$81K
This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,747$41K
20195,922$18K
20206,965$24K
20215,113$23K
2022844$11K
2023330$283.40
2024incomplete122$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41% 873 787 $48K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26% 1,972 1,797 $30K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,300 1,162 $18K
93000 6.8% 958 858 $8K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6.7% 106 96 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.7% 422 135 $4K
93793 <1% 459 228 $376.32
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 18 15 $360.42
99223 Prolong inpt eval add15 m <1% 13 13 $238.50
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 12 $183.00
80048 Basic metabolic panel (calcium, ionized) <1% 29 26 $1.52
G8598 Aspirin or another antiplatelet therapy used 0% 2,604 2,326 $0.00
8 more codes
G8752 Most recent systolic blood pressure < 140 mmhg 0% 2,581 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,669 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,466 $0.00
4004F 0% 48 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 2,654 $0.00
1036F 0% 2,159 $0.00
1123F 0% 2,661 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 39 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAYS, KELSEY (BILLING MANAGER/AUTHORIZED OFFICIAL)