Physician
Mathews Medical Center PLLC
Mathews Medical Center PLLC was paid $405K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoMATHEWS MEDICAL CENTER PLLC
TROY, MI 48083
TROY, MI 48083
33aNPI1588749709assigned 10/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$405K
24GClaims9,863
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#200 of 816
Median peer was paid$70K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2018 | 1,279 | $55K | |
| 2019 | 967 | $44K | |
| 2020 | 1,778 | $53K | |
| 2021 | 1,503 | $60K | |
| 2022 | 1,344 | $71K | |
| 2023 | 1,619 | $69K | |
| 2024incomplete | 1,373 | $52K |
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 | 60% | 3,275 | 3,132 | $244K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,536 | 2,425 | $141K |
| 99490 | Ccm add 20min | 2.9% | 1,290 | 1,289 | $12K |
| 99385 | <1% | 36 | 36 | $3K | |
| 96127 | <1% | 904 | 896 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 37 | 12 | $1K |
| 90656 | <1% | 13 | 13 | $255.37 | |
| 90674 | <1% | 13 | 13 | $235.01 | |
| 99442 | <1% | 15 | 13 | $186.94 | |
| 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) | <1% | 70 | 67 | $160.82 |
| 96160 | <1% | 119 | 113 | $113.77 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | 14 | $98.49 |
13 more codes
| 99406 | <1% | 12 | $74.96 | |
| 3078F | 0% | 212 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 65 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 19 | $0.00 |
| 3077F | 0% | 15 | $0.00 | |
| 4004F | 0% | 12 | $0.00 | |
| 1036F | 0% | 290 | $0.00 | |
| 3074F | 0% | 297 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 408 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 3044F | 0% | 140 | $0.00 | |
| 4086F | 0% | 14 | $0.00 | |
| 3079F | 0% | 45 | $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 officialYONAN, MAZIN (PRESIDENT)