Physician
Raj P Mathur MD
Raj P Mathur MD was paid $96K by Medicaid between Jan 2018 and Feb 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoRAJ P MATHUR MD
WASHINGTON, DC 20010
WASHINGTON, DC 20010
33aNPI1871642314assigned 01/10/2007
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$96K
24GClaims2,567
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in District of Columbia
Rank by total paid#2 of 5
Median peer was paid$60K
This provider vs. median1.6×
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 | 2,411 | $80K | |
| 2019 | 113 | $11K | |
| 2020 | 43 | $4K |
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 | 78% | 1,291 | 1,165 | $74K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.0% | 204 | 198 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 145 | 24 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 43 | 32 | $3K |
| 99407 | 2.0% | 172 | 154 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 50 | 46 | $2K |
| 90686 | 1.1% | 184 | 162 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 49 | $909.92 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 112 | 90 | $536.94 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 143 | 127 | $168.70 |
| 99401 | <1% | 14 | 13 | $166.10 | |
| G0008 | Administration of influenza virus vaccine | <1% | 90 | 89 | $16.00 |
2 more codes
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 55 | $0.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMATHUR, RAJ (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Capital Internal Medicine & Geriatrics LLC | Washington, DC | $366K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.