Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RODRIGO B MATA III, M.D., S.C.

NPI: 1588847099 · KENOSHA, WI 53142 · Internal Medicine Physician · NPI assigned 12/07/2007

$3K
Total Medicaid Paid
137
Total Claims
133
Beneficiaries
4
Codes Billed
2018-03
First Month
2019-02
Last Month

Provider Details

Authorized OfficialMATA, RODRIGO (M.D.)
NPI Enumeration Date12/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $1K
2019 32 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99306 Prolong nursin fac eval 15m 32 30 $1K
99490 Ccm add 20min 67 67 $520.82
99487 Ccm add 20min 25 24 $389.90
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $288.31