Physician
Cesar a Matos, M.D.,P.A.
Cesar a Matos, M.D.,P.A. was paid $636K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCESAR A MATOS, M.D.,P.A.
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1104024579assigned 07/06/2007
33bProvider typePsychiatry Physician
28Total paid$636K
24GClaims18,169
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#55 of 311
Median peer was paid$63K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 1,688 | $33K | |
| 2019 | 1,430 | $36K | |
| 2020 | 1,822 | $48K | |
| 2021 | 5,528 | $205K | |
| 2022 | 4,952 | $198K | |
| 2023 | 2,749 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 6,434 | 6,257 | $193K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 2,957 | 1,363 | $111K |
| 99238 | Hospital discharge day management, 30 minutes or less | 15% | 2,105 | 1,850 | $93K |
| 99221 | 14% | 1,661 | 1,539 | $91K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 14% | 3,442 | 1,766 | $89K |
| 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 | 9.1% | 1,423 | 1,376 | $58K |
| 99441 | <1% | 44 | 37 | $790.29 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 103 | 103 | $429.21 |
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 officialMATOS, LAURA (ADMINISTRATOR)