Physician
Etherington, Matthew
Etherington, Matthew was paid $27K by Medicaid between Aug 2024 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.
33Billing provider infoETHERINGTON, MATTHEW
CARBONDALE, IL 62901
CARBONDALE, IL 62901
33aNPI1831767862assigned 06/16/2021
33bProvider typeEmergency Medicine Physician
28Total paid$27K
24GClaims325
24DCodes billed3
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#1,615 of 1,980
Median peer was paid$150K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 325 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 55% | 157 | 157 | $15K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 40% | 143 | 142 | $11K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.3% | 25 | 24 | $1K |
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.