Physician
Mathias, Claudia
Mathias, Claudia was paid $126K by Medicaid between Jan 2018 and Jun 2018, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoMATHIAS, CLAUDIA
HAMPTON, VA 23667
HAMPTON, VA 23667
33aNPI1285754721assigned 03/29/2007
33bProvider typeFamily Medicine Physician
28Total paid$126K
24GClaims3,805
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#172 of 772
Median peer was paid$13K
This provider vs. median9.6×
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 | 3,805 | $126K |
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 | 57% | 1,090 | 942 | $72K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 15% | 1,352 | 1,082 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 304 | 279 | $15K |
| 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 | 7.8% | 115 | 115 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 94 | 91 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 73 | 72 | $3K |
| 93000 | 1.3% | 107 | 107 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 467 | 432 | $976.05 |
| 81000 | <1% | 203 | 198 | $300.62 |
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.