Mathew, Benjamin

Mathew, Benjamin was paid $231K by Medicaid between Jan 2018 and Feb 2023, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.

33Billing provider infoMATHEW, BENJAMIN
AURORA, IL 60506

33aNPI1477781466assigned 06/29/2009

33bProvider typeOphthalmology Physician

28Total paid$231K

24GClaims5,974

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#98 of 431

Median peer was paid$34K

This provider vs. median6.8×

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	1,873	$69K
2019	2,058	$89K
2020	1,232	$46K
2021	765	$26K
2022	31	$1K
2023	15	$545.13

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	29%	1,226	1,113	$68K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	26%	853	786	$60K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	13%	1,039	946	$29K
92015	Determination of refractive state	11%	1,397	1,255	$26K
92226		9.6%	591	178	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	575	480	$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	1.5%	14	12	$3K
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	1.2%	21	12	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	86	26	$2K
92225		<1%	27	12	$1K
92201		<1%	133	60	$737.93
92002		<1%	12	12	$330.60

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.