Mathew, Niby

Mathew, Niby was paid $121K by Medicaid between Sep 2022 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoMATHEW, NIBY
FRANKFORT, IL 60423

33aNPI1184869125assigned 12/04/2008

33bProvider typeFamily Medicine Physician

28Total paid$121K

24GClaims1,809

24DCodes billed6

24AFirst – last monthSep 2022 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#850 of 2,947

Median peer was paid$43K

This provider vs. median2.8×

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
2022	212	$12K
2023	880	$55K
2024incomplete	717	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	1,305	1,178	$96K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	350	337	$16K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.6%	51	44	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.0%	42	37	$4K
90686		<1%	34	29	$663.78
90656		<1%	27	18	$578.15

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.