Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dougherty, Matthew

Dougherty, Matthew was paid $145K by Medicaid between Oct 2020 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 60% of everything it billed.

33Billing provider infoDOUGHERTY, MATTHEW
NASHVILLE, TN 37232
33aNPI1538514823assigned 04/25/2016
28Total paid$145K
24GClaims2,010
24DCodes billed3
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Tennessee

Rank by total paid#11 of 74
Median peer was paid$23K
This provider vs. median6.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202075$4K
2021471$23K
2022298$15K
2023641$50K
2024incomplete525$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 60% 1,085 1,075 $87K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 40% 864 853 $58K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 61 61 $429.14

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.