ISMAEL MATUS, MD
Pulmonary Disease Physician · NEWARK, DE
Individual Active NPI 1538118070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 479 | 1,491 | $587,594 | $153,435 | $121,092 |
| 2023 | 455 | 1,163 | $464,162 | $123,833 | $98,921 |
| 2022 | 364 | 916 | $324,271 | $104,696 | $82,601 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 179 | $114 | $91 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 158 | $126 | $99 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 151 | $94 | $73 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 137 | $9 | $7 |
| 31628 | Biopsy of lobe of lung using an endoscope, 1 lobe | 123 | $95 | $76 |
| 31654 | Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound | 107 | $64 | $51 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 80 | $139 | $107 |
| 31627 | Computer-assisted image-guided navigation of lung airways using an endoscope | 59 | $92 | $74 |
| 31653 | Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes | 56 | $222 | $177 |
| 31629 | Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 46 | $139 | $111 |
| 31652 | Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 41 | $146 | $116 |
| 76604 | Ultrasound scan of chest | 39 | $26 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | C1-0011711 | DE |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00045925 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00045925 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C1-0011711 | DE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Delaware
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- NPI 1740230309
- NPI 1679522122
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.