Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alan Matsumoto (NPI 1043219298)

Field	Value
Entity Type	Individual
Organization	Alan Matsumoto
Address	2730 University Blvd W
City	Wheaton
State	MD
ZIP	20902
Taxonomy	Rheumatology Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	12,890	$30	$425.2K
J0897	Injection, denosumab, 1 mg	21,840	$20	$393.1K
J3262	Injection, tocilizumab, 1 mg	57,580	$10	$287.9K
J3111	Injection, romosozumab-aqqg, 1 mg	23,100	$10	$184.8K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	5,820	$30	$157.1K
J1602	Injection, golimumab, 1 mg, for intravenous use	13,140	$10	$131.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,250	$110	$131.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4,890	$30	$127.1K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	700	$130	$88.4K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	480	$70	$33.9K

Showing 1–10 of 72

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 72 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Alan Matsumoto — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

72 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	8	40	6,060	$30	$290.2K
J3111	10	30	17,430	$10	$192.3K
J3262	4	20	28,780	$1	$159K
J0897	17	340	3,600	$20	$114.4K
J1745	10	40	2,810	$30	$109K
J1602	7	30	8,300	$10	$102.8K
Q5104	1	10	1,360	$30	$49.1K
96413	16	230	200	$110	$29.6K
99214	310	10,270	150	$90	$24.1K
J7320	4	20	2,730	$10	$17.9K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alan Matsumoto, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emma Diiorio	MD	Rheumatology Physician	$2.1M	$0
Grant Louie	MD	Rheumatology Physician	$2.1M	$0
David Wolfe	MD	Rheumatology Physician	$1.4M	$0
Nitasha Kumar	MD	Rheumatology Physician	$1.2M	$0
Jeffrey Potter	MD	Rheumatology Physician	$1.1M	$0
Rami Eltaraboulsi	MD	Rheumatology Physician	$1.1M	$0
Rachel Kaiser	MD	Rheumatology Physician	$1M	$0
Ashley Beall	MD	Rheumatology Physician	$1M	$0
Guada Respicio Duque	MD	Rheumatology Physician	$969.5K	$0
Evan Siegel	MD	Rheumatology Physician	$924K	$0

Nearby Providers

Other providers in the same ZIP code as Alan Matsumoto, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Care, Inc	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101.9M
Cornerstone Montgomery, Inc.	MD	Community/Behavioral Health Agency	$0	$29.5M
Kidz & Family Dental Center	MD	Dental Clinic/Center	$0	$13.3M
Smile Care 4 Children, LLC	MD	Pediatric Dentistry	$0	$10.5M
C Arefi B Nasehi & Associates PC	MD	General Practice Dentistry	$0	$7M
Pediatric Associates	MD	Primary Care Clinic/Center	$0	$6.8M
Right Care Pediatrics Inc	MD	Pediatrics Physician	$0	$5.3M
Derm Associates LLC	MD	Dermatology Physician	$5.1M	$11K
Virant Diagnostics, Inc	MD	Clinical Medical Laboratory	$48.8K	$4.3M
Frederick Min	MD	Hematology & Oncology Physician	$3.2M	$0

Alan Matsumoto — Billing Profile & Reimbursement Data

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Alan Matsumoto — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References