Physician
Nettleton, Matthew
Nettleton, Matthew was paid $16K by Medicaid between Jan 2021 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoNETTLETON, MATTHEW
BLAIRSVILLE, PA 15717
BLAIRSVILLE, PA 15717
33aNPI1114983616assigned 04/24/2006
33bProvider typeInternal Medicine Physician
28Total paid$16K
24GClaims3,538
24DCodes billed20
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#609 of 1,726
Median peer was paid$6K
This provider vs. median2.5×
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
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 | |
|---|---|---|---|
| 2021 | 977 | $5K | |
| 2022 | 743 | $4K | |
| 2023 | 305 | $0.00 | |
| 2024incomplete | 1,513 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 181 | 176 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 150 | 146 | $4K |
| 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 | 12% | 20 | 20 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 63 | 25 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 14 | 14 | $835.52 |
| 3008F | 0% | 795 | 777 | $0.00 | |
| 3074F | 0% | 428 | 421 | $0.00 | |
| 1126F | 0% | 119 | 118 | $0.00 | |
| 1101F | 0% | 190 | 185 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 637 | 625 | $0.00 |
| 1036F | 0% | 36 | 36 | $0.00 | |
| 3079F | 0% | 120 | 120 | $0.00 |
8 more codes
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.