Physician
Matse, Stephen
Matse, Stephen was paid $73K by Medicaid between Feb 2021 and Nov 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoMATSE, STEPHEN
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1427054642assigned 06/22/2005
33bProvider typeInternal Medicine Physician
28Total paid$73K
24GClaims2,855
24DCodes billed16
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#257 of 1,726
Median peer was paid$6K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 633 | $40K | |
| 2022 | 774 | $25K | |
| 2023 | 902 | $5K | |
| 2024incomplete | 546 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 438 | 408 | $55K |
| 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 | 17% | 500 | 481 | $12K |
| 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 | 3.7% | 41 | 41 | $3K |
| 0011A | 1.5% | 37 | 37 | $1K | |
| 0064A | 1.2% | 25 | 25 | $840.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52 | 50 | $385.00 |
| 0012A | <1% | 12 | 12 | $280.00 | |
| 1111F | 0% | 247 | 241 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 487 | 472 | $0.00 |
| 3008F | 0% | 298 | 294 | $0.00 | |
| 3074F | 0% | 91 | 91 | $0.00 | |
| 91301 | 0% | 40 | 40 | $0.00 |
4 more codes
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.