Pothen, Mathew

Pothen, Mathew was paid $15K by Medicaid between Apr 2018 and Mar 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoPOTHEN, MATHEW
MOUNT PLEASANT, WI 53406

33aNPI1255505434assigned 04/17/2008

33bProvider typeFamily Medicine Physician

28Total paid$15K

24GClaims401

24DCodes billed3

24AFirst – last monthApr 2018 – Mar 2024

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#140 of 359

Median peer was paid$4K

This provider vs. median3.9×

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	53	$3K
2019	96	$3K
2020	65	$3K
2021	25	$820.14
2022	117	$4K
2023	31	$1K
2024incomplete	14	$816.92

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	66%	311	307	$10K
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	22%	65	65	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	25	25	$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.