Mattheis, Jay

Mattheis, Jay was paid $26K by Medicaid between Jan 2018 and Dec 2018, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 59% of everything it billed.

33Billing provider infoMATTHEIS, JAY
LOMA LINDA, CA 92354

33aNPI1154311058assigned 10/24/2005

33bProvider typeOphthalmology Physician

28Total paid$26K

24GClaims316

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#404 of 759

Median peer was paid$35K

This provider vs. median0.7×

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	316	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	59%	224	211	$16K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	31%	65	65	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.8%	27	27	$3K

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.