Mathew, Verghese

Mathew, Verghese was paid $18K by Medicaid between Oct 2022 and Nov 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.

33Billing provider infoMATHEW, VERGHESE
CHICAGO, IL 60625

33aNPI1093795627assigned 01/19/2006

33bProvider typeInterventional Cardiology Physician

28Total paid$18K

24GClaims888

24DCodes billed6

24AFirst – last monthOct 2022 – Nov 2024

Compared with peers

Next to other Interventional Cardiology Physician providers in Illinois

Rank by total paid#65 of 113

Median peer was paid$22K

This provider vs. median0.8×

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

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

Year	Claims	Paid
2022	23	$753.26
2023	427	$5K
2024incomplete	438	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	41%	102	93	$7K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	28%	620	566	$5K
99205	Prolong outpt/office vis	11%	18	14	$2K
93000		8.5%	100	96	$2K
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	8.0%	25	25	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.2%	23	13	$753.26

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.