MELISSA MARTINEZ MATEO, M.D.
Gastroenterology Physician · CARBONDALE, IL
Individual Active NPI 1003124280
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 293 | 621 | $1,039,122 | $72,788 | $57,884 |
| 2023 | 383 | 820 | $1,115,741 | $99,475 | $79,309 |
| 2022 | 342 | 741 | $626,450 | $93,759 | $75,236 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 192 | $126 | $99 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 84 | $73 | $58 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 36 | $106 | $85 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | $76 | $60 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 33 | $6 | $5 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | $97 | $77 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 26 | $244 | $200 |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | $188 | $149 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 21 | $81 | $65 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 20 | $119 | $95 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 19 | $164 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01072250A | IN |
| Internal Medicine Physician | 207R00000X | 125056433 | IL | |
| Gastroenterology Physician | 207RG0100X | 036139158 | IL | |
| Internal Medicine Physician | 207R00000X | 11015804A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Illinois
- NPI 1821065392
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- NPI 1063114395
- NPI 1962815043
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.