Matos, Luis

Matos, Luis was paid $188K by Medicaid between Jan 2018 and Nov 2018, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoMATOS, LUIS
FOREST, VA 24551

33aNPI1972506509assigned 05/27/2005

33bProvider typePediatrics Physician

28Total paid$188K

24GClaims5,668

24DCodes billed28

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#190 of 817

Median peer was paid$29K

This provider vs. median6.4×

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	5,668	$188K

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	66%	1,673	1,204	$125K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.9%	274	251	$15K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.7%	161	140	$11K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.6%	152	133	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.7%	243	203	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.7%	165	118	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.7%	699	128	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.6%	38	38	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	167	124	$2K
90670		<1%	107	93	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	17	14	$1K
90651		<1%	16	14	$1K

16 more codes

99383		<1%	12	$1K
90648		<1%	101	$965.80
85018		<1%	377	$860.10
81002		<1%	207	$532.54
87807		<1%	81	$531.20
90723		<1%	37	$310.75
99173		<1%	119	$288.79
83655		<1%	18	$254.26
36415	Collection of venous blood by venipuncture	<1%	120	$221.11
90633		<1%	16	$202.05
90686		<1%	13	$155.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	333	$141.15
90472	Immunization administration, each additional vaccine (list separately)	<1%	152	$115.50
36416		<1%	284	$38.05
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	65	$13.57
99051		<1%	21	$7.50

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.