JAMES MATHEWS, DO
Family Medicine Physician · PROVIDENCE, UT
Individual Active NPI 1518113216
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 139 | 1,048 | $92,286 | $54,655 | $45,244 |
| 2023 | 132 | 833 | $88,328 | $47,079 | $37,650 |
| 2022 | 141 | 701 | $86,645 | $44,810 | $33,577 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 148 | $7 | $7 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 142 | $119 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 129 | $85 | $60 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 64 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 57 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 44 | $13 | $13 |
| 83036 | Hemoglobin a1c level | 43 | $10 | $10 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | $123 | $123 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 28 | $16 | $16 |
| G0009 | Administration of pneumococcal vaccine | 26 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $292 | $292 |
| 84439 | Thyroxine (thyroid chemical), free | 21 | $9 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 312302-1204 | UT |
Medicare eligibility
- 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.