Phillips, Mathew

Phillips, Mathew was paid $50K by Medicaid between Dec 2019 and Mar 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoPHILLIPS, MATHEW
LOUISVILLE, KY 40220

33aNPI1619172947assigned 06/18/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$50K

24GClaims1,972

24DCodes billed6

24AFirst – last monthDec 2019 – Mar 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Kentucky

Rank by total paid#13 of 23

Median peer was paid$54K

This provider vs. median0.9×

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
2019	29	$585.24
2020	641	$16K
2021	822	$24K
2022	376	$8K
2023	104	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	1,269	1,132	$30K
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	23%	321	286	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.3%	92	82	$3K
72114		4.9%	95	88	$2K
72170		3.6%	168	152	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	27	27	$603.47

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.