Physician
Mathias Primary Care Associates, INC
Mathias Primary Care Associates, INC was paid $24K by Medicaid between Jun 2022 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoMATHIAS PRIMARY CARE ASSOCIATES, INC
HEMET, CA 92543
HEMET, CA 92543
33aNPI1508524083assigned 12/02/2021
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$24K
24GClaims43,996
24DCodes billed40
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in California
Rank by total paid#38 of 86
Median peer was paid$14K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 823 | $722.41 | |
| 2023 | 17,445 | $8K | |
| 2024incomplete | 25,728 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 3,357 | 3,130 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 22% | 1,437 | 1,357 | $5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 7.1% | 597 | 569 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 504 | 485 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.7% | 27 | 27 | $409.02 |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $164.57 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 84 | 82 | $4.91 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,798 | 3,465 | $0.34 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 73 | 72 | $0.02 |
| 99497 | <1% | 104 | 97 | $0.02 | |
| 1160F | 0% | 3,239 | 2,953 | $0.00 | |
| 3078F | 0% | 1,627 | 1,550 | $0.00 |
28 more codes
| 3725F | 0% | 1,648 | $0.00 | |
| 4004F | 0% | 3,785 | $0.00 | |
| 1158F | 0% | 2,300 | $0.00 | |
| 0521F | 0% | 676 | $0.00 | |
| 1159F | 0% | 512 | $0.00 | |
| 3062F | 0% | 47 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3288F | 0% | 486 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 27 | $0.00 |
| 1090F | 0% | 497 | $0.00 | |
| 0518F | 0% | 29 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 30 | $0.00 |
| G9920 | Screening performed and negative | 0% | 65 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 2,615 | $0.00 |
| 1036F | 0% | 3,438 | $0.00 | |
| 1126F | 0% | 1,907 | $0.00 | |
| 1157F | 0% | 2,307 | $0.00 | |
| 3044F | 0% | 867 | $0.00 | |
| 1170F | 0% | 3,257 | $0.00 | |
| 1125F | 0% | 1,300 | $0.00 | |
| 3074F | 0% | 1,782 | $0.00 | |
| 3061F | 0% | 320 | $0.00 | |
| 3075F | 0% | 68 | $0.00 | |
| 3079F | 0% | 237 | $0.00 | |
| 1101F | 0% | 441 | $0.00 | |
| 3008F | 0% | 443 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27 | $0.00 |
| 0509F | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMATHIAS, HERMAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rapid Care Enterprises, INC | Perris, CA | $4.77M |
| Apex Healthcare Medical Center, INC | Hemet, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.