Physician
Hensley, Matthew
Hensley, Matthew was paid $6K by Medicaid between Apr 2021 and May 2022, across 2 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 60% of everything it billed.
33Billing provider infoHENSLEY, MATTHEW
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
33aNPI1174865596assigned 03/24/2013
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$6K
24GClaims96
24DCodes billed2
24AFirst – last monthApr 2021 – May 2022
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#26 of 58
Median peer was paid$5K
This provider vs. median1.3×
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 | 70 | $2K | |
| 2022 | 26 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 60% | 26 | 12 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 40% | 70 | 42 | $2K |
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.