Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Normal › NPI 1134228224
Physician

Matter, Stephen

Matter, Stephen was paid $355K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 60% of everything it billed.

33Billing provider infoMATTER, STEPHEN
NORMAL, IL 61761
33aNPI1134228224assigned 09/22/2006
28Total paid$355K
24GClaims3,525
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#23 of 370
Median peer was paid$16K
This provider vs. median22×

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$5.0K$10K$15K2018201920202021202220232024
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
2018369$23K
2019739$65K
2020430$25K
2021731$59K
2022587$88K
2023310$53K
2024incomplete359$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 60% 1,720 1,587 $214K
43248 29% 678 608 $102K
45380 Colonoscopy, flexible; with biopsy, single or multiple 7.1% 195 184 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 350 337 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.4% 410 386 $5K
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 <1% 70 70 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 49 40 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13 13 $986.70
43252 <1% 40 39 $10.78

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.