Gillihan, Matthew

Gillihan, Matthew was paid $189K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is 99243, — 60% of everything it billed.

33Billing provider infoGILLIHAN, MATTHEW
MONROE, NC 28112

33aNPI1730137290assigned 05/05/2006

33bProvider typeOtolaryngology Physician

28Total paid$189K

24GClaims2,099

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#18 of 42

Median peer was paid$109K

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
2018	937	$58K
2019	654	$70K
2020	508	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		60%	852	851	$114K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	543	541	$32K
31231		6.9%	84	84	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.7%	155	154	$13K
S9999	Sales tax	3.7%	389	336	$7K
42820	Tonsillectomy and adenoidectomy; younger than age 12	3.6%	26	26	$7K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	1.3%	12	12	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	26	26	$1K
69210		<1%	12	12	$435.87

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.