Physician
Herman R Matallana DO PA
Herman R Matallana DO PA was paid $1.24M by Medicaid between Dec 2018 and Dec 2024, across 18 billing codes. Its largest line is 31231, — 24% of everything it billed.
33Billing provider infoHERMAN R MATALLANA DO PA
LAKELAND, FL 33812
LAKELAND, FL 33812
33aNPI1275518284assigned 12/13/2005
33bProvider typeFacial Plastic Surgery Physician
28Total paid$1.24M
24GClaims32,465
24DCodes billed18
24AFirst – last monthDec 2018 – Dec 2024
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 | 287 | $8K | |
| 2019 | 7,305 | $273K | |
| 2020 | 5,576 | $166K | |
| 2021 | 5,526 | $214K | |
| 2022 | 4,472 | $182K | |
| 2023 | 5,954 | $271K | |
| 2024incomplete | 3,345 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 24% | 1,212 | 1,172 | $296K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 4,635 | 4,134 | $279K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 2,101 | 2,054 | $211K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 12% | 1,677 | 1,642 | $144K |
| 95115 | 8.8% | 10,744 | 4,940 | $110K | |
| 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 | 6.0% | 757 | 707 | $75K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.4% | 246 | 244 | $67K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.0% | 212 | 179 | $13K |
| 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 | 1.0% | 93 | 93 | $13K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.0% | 38 | 37 | $13K |
| 92567 | <1% | 1,653 | 1,544 | $12K | |
| 95024 | <1% | 30 | 26 | $4K |
6 more codes
| 69200 | <1% | 15 | $3K | |
| 95117 | <1% | 104 | $1K | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 8,841 | $474.51 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $57.48 |
| A4207 | Syringe with needle, sterile 2 cc, each | 0% | 60 | $0.00 |
| 92551 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialMATALLANA, HERMAN (PRESIDENT)