Physician
Matheny, Jessica
Matheny, Jessica was paid $493K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoMATHENY, JESSICA
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1164749982assigned 05/04/2010
33bProvider typeObstetrics & Gynecology Physician
28Total paid$493K
24GClaims9,991
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in West Virginia
Rank by total paid#12 of 40
Median peer was paid$84K
This provider vs. median5.9×
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 | 1,069 | $88K | |
| 2019 | 393 | $23K | |
| 2020 | 1,821 | $107K | |
| 2021 | 2,171 | $94K | |
| 2022 | 2,586 | $103K | |
| 2023 | 1,656 | $62K | |
| 2024incomplete | 295 | $17K |
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 | 54% | 3,917 | 2,480 | $265K |
| 76828 | 13% | 1,841 | 1,076 | $64K | |
| 93325 | 7.8% | 1,629 | 1,001 | $39K | |
| 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 | 7.2% | 478 | 442 | $36K |
| 76820 | 4.8% | 850 | 451 | $24K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.3% | 408 | 325 | $21K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.8% | 304 | 223 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 122 | 105 | $11K |
| 59430 | <1% | 16 | 15 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 74 | 26 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 15 | 13 | $3K |
| 90686 | <1% | 153 | 103 | $2K |
4 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.