Mathen, Shaun

Mathen, Shaun was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoMATHEN, SHAUN
DEKALB, IL 60115

33aNPI1770744476assigned 06/24/2008

33bProvider typeFamily Medicine Physician

28Total paid$120K

24GClaims1,901

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#853 of 2,947

Median peer was paid$43K

This provider vs. median2.8×

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	182	$7K
2019	288	$16K
2020	339	$22K
2021	158	$11K
2022	200	$14K
2023	470	$29K
2024incomplete	264	$22K

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	80%	1,354	1,035	$96K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	414	280	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.7%	118	110	$7K
90686		<1%	15	12	$291.93

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.