CRAIG MATHERNE, MD
Family Medicine Physician · JOHNSON CITY, TN
Individual Active NPI 1215965710
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 252 | 4,935 | $228,850 | $126,489 | $102,273 |
| 2023 | 313 | 10,980 | $285,251 | $153,095 | $122,320 |
| 2022 | 326 | 11,757 | $272,163 | $169,562 | $133,957 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 454 | $116 | $77 |
| 36415 | Insertion of needle into vein for collection of blood sample | 412 | $9 | $9 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 242 | $6 | $6 |
| 80053 | Blood test, comprehensive group of blood chemicals | 205 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 194 | $13 | $13 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 153 | $117 | $117 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 132 | $82 | $51 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 127 | $16 | $16 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 124 | $0 | $0 |
| 83036 | Hemoglobin a1c level | 93 | $9 | $9 |
| G0008 | Administration of influenza virus vaccine | 68 | $30 | $30 |
| 84439 | Thyroxine (thyroid chemical), free | 62 | $9 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 30967 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.