Matthew S. Kaatz, M.D. P.C.

Matthew S. Kaatz, M.D. P.C. was paid $120K by Medicaid between Jan 2018 and Nov 2019, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoMATTHEW S. KAATZ, M.D. P.C.
PULASKI, VA 24301

33aNPI1912228297assigned 06/21/2010

33bProvider typeFamily Medicine Physician

28Total paid$120K

24GClaims8,211

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#175 of 772

Median peer was paid$13K

This provider vs. median9.1×

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	2,192	$23K
2019	6,019	$97K

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	48%	1,560	1,236	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	1,321	989	$37K
80061	Lipid panel	4.0%	579	479	$5K
85027		2.6%	879	705	$3K
80053	Comprehensive metabolic panel	2.2%	369	313	$3K
84443	Thyroid stimulating hormone (TSH)	2.0%	247	200	$2K
83036	Hemoglobin; glycosylated (A1C)	1.9%	344	282	$2K
84439		1.7%	334	277	$2K
83721		1.6%	353	295	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.2%	132	77	$1K
36415	Collection of venous blood by venipuncture	1.0%	1,225	978	$1K
80050	General health panel	<1%	78	59	$976.68

13 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	76	$577.10
87430		<1%	66	$560.97
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	47	$431.16
81000		<1%	143	$249.65
81002		<1%	153	$222.37
84295		<1%	33	$48.79
84132		<1%	33	$30.82
82435		<1%	34	$25.56
80069		<1%	19	$23.03
84520		<1%	32	$21.94
82565		<1%	20	$19.51
82947		<1%	20	$7.00
3044F		0%	114	$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 officialGARDNER, CAROLYN (INSURANCE CLERK)