Barnes, Matthew

Barnes, Matthew was paid $841K by Medicaid between Nov 2020 and Dec 2024, across 12 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 76% of everything it billed.

33Billing provider infoBARNES, MATTHEW
PITTSBURGH, PA 15237

33aNPI1477046894assigned 06/11/2018

33bProvider typeFamily Nurse Practitioner

28Total paid$841K

24GClaims5,756

24DCodes billed12

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#12 of 1,075

Median peer was paid$8K

This provider vs. median100×

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
2020	275	$25K
2021	1,054	$162K
2022	1,377	$204K
2023	1,421	$215K
2024incomplete	1,629	$234K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	76%	2,224	2,224	$642K
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	9.9%	1,583	1,501	$83K
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	6.2%	607	597	$52K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	1.9%	253	253	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	372	349	$15K
G9001	Coordinated care fee, initial rate	1.2%	62	62	$10K
G9008	Coordinated care fee, physician coordinated care oversight services	1.1%	56	56	$10K
97535	Self-care/home management training, each 15 minutes	<1%	123	123	$5K
80305		<1%	349	308	$4K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	74	74	$3K
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%	14	14	$794.40
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	39	39	$518.78

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.