Health Matters LLC

Health Matters LLC was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoHEALTH MATTERS LLC
CUMBERLAND, MD 21502

33aNPI1245465376assigned 05/19/2009

33bProvider typeEmergency Medicine Physician

28Total paid$2.01M

24GClaims39,521

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Maryland

Rank by total paid#21 of 100

Median peer was paid$35K

This provider vs. median57×

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	1,305	$70K
2019	684	$31K
2020	7,106	$294K
2021	7,222	$334K
2022	9,731	$494K
2023	7,229	$407K
2024incomplete	6,244	$375K

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	45%	10,079	8,818	$910K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	5,433	5,042	$400K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	3,096	2,884	$262K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	1,603	1,520	$213K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.0%	3,591	2,190	$59K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.8%	4,155	3,876	$55K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	2.1%	1,173	1,130	$41K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	229	182	$23K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	224	217	$15K
87807		<1%	799	775	$8K
99000		<1%	7,028	6,550	$7K
71046	Radiologic examination, chest; 2 views	<1%	427	358	$6K

12 more codes

81003		<1%	1,197	$3K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	44	$973.26
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	41	$944.89
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	58	$549.37
81025		<1%	54	$305.49
94760		<1%	58	$93.08
J7030	Infusion, normal saline solution , 1000 cc	<1%	43	$70.85
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	58	$49.15
36000		<1%	43	$36.98
99173		<1%	12	$13.00
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	57	$4.46
J7644	Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	<1%	19	$1.44

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.

From NPPES

Who's on the registration

Authorized officialMONSEAU, RONNA (PRESIDENT)