Physician
Hadilaksono, Matthew
Hadilaksono, Matthew was paid $0.00 by Medicaid between Jul 2020 and Apr 2021, across 5 billing codes. Its largest line is 99490, Ccm add 20min — 0% of everything it billed.
33Billing provider infoHADILAKSONO, MATTHEW
TEMPLETON, CA 93465
TEMPLETON, CA 93465
33aNPI1205225174assigned 01/15/2015
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$0.00
24GClaims421
24DCodes billed5
24AFirst – last monthJul 2020 – Apr 2021
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#67 of 70
Median peer was paid$39K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 32 | $0.00 | |
| 2021 | 389 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 0% | 47 | 47 | $0.00 |
| 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 | 0% | 83 | 77 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 125 | 118 | $0.00 |
| 96127 | 0% | 61 | 60 | $0.00 | |
| 99000 | 0% | 105 | 104 | $0.00 |
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.