Matoka, Derek

Matoka, Derek was paid $200K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 54% of everything it billed.

33Billing provider infoMATOKA, DEREK
MAYWOOD, IL 60153

33aNPI1316193824assigned 08/15/2008

33bProvider typePediatric Urology Physician

28Total paid$200K

24GClaims2,461

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Urology Physician providers in Illinois

Rank by total paid#3 of 12

Median peer was paid$123K

This provider vs. median1.6×

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	210	$18K
2019	424	$28K
2020	251	$11K
2021	346	$33K
2022	441	$46K
2023	394	$31K
2024incomplete	395	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	54%	777	694	$109K
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	30%	935	824	$59K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	710	575	$27K
99243		1.4%	27	12	$3K
99245		1.1%	12	12	$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.