Varghese, Mathew

Varghese, Mathew was paid $261K by Medicaid between Jan 2018 and Mar 2022, across 12 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 44% of everything it billed.

33Billing provider infoVARGHESE, MATHEW
NORTH BERGEN, NJ 07047

33aNPI1407884125assigned 06/29/2006

33bProvider typeAllergy Physician

28Total paid$261K

24GClaims5,883

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Allergy Physician providers in New Jersey

Rank by total paid#7 of 19

Median peer was paid$172K

This provider vs. median1.5×

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	1,580	$68K
2019	1,914	$96K
2020	1,037	$54K
2021	1,169	$41K
2022	183	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	44%	350	133	$115K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	1,047	912	$45K
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	16%	650	510	$42K
95117		8.6%	2,854	1,517	$22K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	8.1%	112	101	$21K
94010		3.8%	652	583	$10K
94060		1.0%	92	78	$3K
86328		<1%	30	29	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$965.64
G0008	Administration of influenza virus vaccine	<1%	36	36	$468.18
90674		<1%	17	17	$386.40
36415	Collection of venous blood by venipuncture	<1%	31	30	$45.09

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.