Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › East Setauket › NPI 1154716959
Physician

Karl, Matthew

Karl, Matthew was paid $6K by Medicaid between Oct 2023 and Nov 2024, across 3 billing codes. Its largest line is 92134, — 55% of everything it billed.

33Billing provider infoKARL, MATTHEW
EAST SETAUKET, NY 11733
33aNPI1154716959assigned 03/30/2015
33bProvider typeOphthalmology Physician
28Total paid$6K
24GClaims454
24DCodes billed3
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#769 of 1,085
Median peer was paid$34K
This provider vs. median0.2×

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$500$1.0K$1.5K2018201920202021202220232024
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
202371$504.95
2024incomplete383$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92134 55% 358 341 $3K
67028 Intravitreal injection of a pharmacologic agent 34% 57 56 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 39 39 $663.51

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.