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    OpenPayerNPI Medicare & MedicaidMelissa Mathews
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    Melissa Mathews — Billing Profile & Reimbursement Data

    NPI 1235339151 · Bowling Green, KY · Clinical Neuropsychologist

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    Melissa Mathews is a clinical neuropsychologist provider located in Bowling Green, Kentucky. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMelissa Mathews
    Address1300 Campbell Ln
    CityBowling Green
    StateKY
    ZIP42104
    TaxonomyClinical Neuropsychologist
    NPI EnumeratedJuly 19, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$11.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…50$80$3.9K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…130$30$3.7K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…20$100$2.2K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…20$70$1.4K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…20$30$700

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96133152090$70$7K
    961371020130$30$4.4K
    96132183030$90$3.4K
    96116173030$60$3.1K
    96136142030$30$890

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bowling Green-warren County Community Hospital CorporationKYGeneral Acute Care Hospital$0$112.1M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$14.4M
    Logan Memorial Hospital LLCKYRural Acute Care Hospital$0$14.3M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$13.5M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$13.2M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$8.8M
    Martha SeeleyKYFamily Medicine Physician$24.7K$777.3K
    Shiraz RahimIDDiagnostic Radiology Physician$148.8K$599.6K
    Carol PeddicordKYFamily Medicine Physician$189.7K$395K
    Pravin AvulaKYInternal Medicine Physician$424.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenview Hospital, Inc.KYGeneral Acute Care Hospital$0$49.1M
    Advantage Health ClubKYAdult Day Care Clinic/Center$0$20.6M
    Faith HarborKYDevelopmentally Disabled Services Day Training Agency$0$20.1M
    Marpe' Therapy ServicesKYMental Health Counselor$0$11.5M
    Positive Directions Support Services, PLLCKYCommunity/Behavioral Health Agency$0$9.9M
    Dungarvin Kentucky, LLC - Bowling GreenKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Destiny Adult, Child & Family Services LLCKYCommunity/Behavioral Health Agency$0$7.1M
    Familyworks Therapy, LLCKYCommunity/Behavioral Health Agency$0$7M
    Zipclinic, PscKYPrimary Care Clinic/Center$0$4.4M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$4.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Melissa Mathews — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky