Physician
Matusiak, David
Matusiak, David was paid $658K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 29% of everything it billed.
33Billing provider infoMATUSIAK, DAVID
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1487605556assigned 05/13/2006
33bProvider typePediatrics Physician
28Total paid$658K
24GClaims14,388
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#226 of 1,805
Median peer was paid$55K
This provider vs. median12×
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 | 373 | $16K | |
| 2019 | 817 | $38K | |
| 2020 | 1,174 | $49K | |
| 2021 | 1,819 | $84K | |
| 2022 | 3,198 | $141K | |
| 2023 | 3,373 | $152K | |
| 2024incomplete | 3,634 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 29% | 2,755 | 2,188 | $189K |
| 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 | 20% | 1,679 | 1,563 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,789 | 2,538 | $132K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,241 | 1,101 | $96K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 273 | 247 | $21K |
| 90723 | 2.5% | 1,163 | 1,002 | $16K | |
| 90647 | 2.1% | 959 | 862 | $14K | |
| 90670 | 2.0% | 1,083 | 926 | $13K | |
| 90681 | 1.4% | 635 | 552 | $9K | |
| 90686 | 1.3% | 734 | 678 | $9K | |
| 90677 | 1.2% | 422 | 396 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 92 | 84 | $8K |
9 more codes
| 90633 | <1% | 289 | $5K | |
| 90656 | <1% | 115 | $2K | |
| 99460 | <1% | 26 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $1K |
| 90707 | <1% | 38 | $589.33 | |
| 90381 | <1% | 26 | $434.46 | |
| 90700 | <1% | 15 | $250.65 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $219.80 |
| 90380 | <1% | 12 | $201.36 |
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.