Francisco Matheus, MD, P.C.

Francisco Matheus, MD, P.C. was paid $175K by Medicaid between Mar 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoFRANCISCO MATHEUS, MD, P.C.
SILVER SPRING, MD 20906

33aNPI1992996532assigned 08/08/2007

33bProvider typeInternal Medicine Physician

28Total paid$175K

24GClaims1,931

24DCodes billed4

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Maryland

Rank by total paid#170 of 501

Median peer was paid$77K

This provider vs. median2.3×

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	130	$13K
2019	162	$9K
2020	396	$32K
2021	368	$35K
2022	428	$37K
2023	308	$33K
2024incomplete	139	$15K

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	53%	1,240	995	$93K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	46%	645	550	$81K
99497		<1%	33	29	$1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	13	13	$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 officialMATHEUS, FRANCISCO (PHYSICIAN)