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 New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Elisabeth Matson (NPI 1457404303)

Field	Value
Entity Type	Individual
Organization	Elisabeth Matson
Address	7 Alumni Dr
City	Exeter
State	NH
ZIP	03833
Taxonomy	Rheumatology Physician
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicare	$387.1K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $387.1K while Medicaid billing is listed as none, meaning there is no Medicaid activity on file to balance payer exposure or diversify revenue sources. Analysts should treat Medicare as the primary and near‑exclusive payer when modeling this provider’s patient population and revenue streams.

Revenue is highly concentrated in a small set of services: the precomputed top‑three Medicare codes account for 83.9% of the provider’s Medicare revenue. Those three codes are J0717 ($154.6K, 40.3% of Medicare revenue), J0897 ($100.4K, 26.1%), and 99214 ($67.1K, 17.5%), indicating that biologic drug administration and a single E/M level dominate billing.

The CPT/HCPCS mix is consistent with a rheumatology practice that manages biologic therapies and performs office‑based management and point‑of‑care testing: high revenue from J0717 and J0897 (biologic injections) alongside sizable E/M volume 99214 and multiple immunology and metabolic lab codes such as 82306 (vitamin D), 86140 (CRP), 86200 (CCP), and 86225 (anti‑DNA). This pattern suggests ongoing management of chronic autoimmune conditions with in‑office drug administration and routine monitoring tests.

Competitive standing across the top codes is mixed. The primary E/M code 99214 ranks #22993 of 479517 providers nationally (95th percentile) and is explicitly labeled “notably above typical national volume for this code,” signaling above‑typical office visit intensity; by contrast J0717 ranks #524 of 848 (38th percentile; labeled “typical, unremarkable volume for this code”), while J0897 ranks #2507 of 10057 (75th percentile; labeled “typical, unremarkable volume for this code”), indicating the provider is not a dominant national player for certolizumab but has stronger relative presence for office visit workflows.

The provider shows notable E/M workload for both established and new patients: 99214 has 745 claims ($67.1K) and is in the 95th percentile, and 99204 (new patient, moderate complexity) has 127 claims ($14.7K) and ranks in the 93th percentile with the label “typical, unremarkable volume for this code.” Together these figures describe a practice with sustained, above‑typical outpatient visit volumes, including a measurable share of new patient evaluations.

Ancillary and laboratory testing is a recurrent component of care: several lab and specimen codes show high national percentiles—36415 (venipuncture) ranks in the 94th percentile, 82565 (creatinine) 94th, 85651 (ESR) 94th, and 86140 (CRP) 91st—supporting frequent in‑office monitoring and sample collection even if each test contributes modestly to revenue. The presence of these high‑percentile lab codes corroborates the clinical pattern of active disease monitoring and medication safety checks in rheumatology care.

From a revenue‑scale perspective this is a modestly sized Medicare practice: lifetime Medicare receipts total $387.1K and most of that is concentrated in a handful of codes (83.9% from the top three). For payers and competitors, that profile suggests a specialized clinician focused on biologic management and routine outpatient follow‑up rather than a high‑volume infusion center or a large multispecialty group.

The provider is long‑tenured in Medicare enrollment, with an NPI enumerated on 2007-01-22 (~19 years ago), which implies an established presence and likely stable referral relationships over time. Coupled with the absence of Medicaid billing, this tenure plus payer mix may reflect a Medicare‑weighted patient panel or practice choices that limit participation in state Medicaid programs; either explanation is relevant when assessing access, network adequacy, or potential contracting interest.

Medicare: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 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)	38,660	$1	$154.6K
J0897	Injection, denosumab, 1 mg	5,580	$20	$100.4K
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…	750	$90	$67K
99204	The provider sees a new 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 provider…	130	$120	$14.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	190	$30	$5.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	760	$10	$5.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$140	$4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	460	$10	$3.7K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	610	$10	$3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	290	$10	$2.9K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Elisabeth Matson — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0717	1	10	38,660	$1	$150.9K
J0897	7	20	2,760	$20	$75.4K
99214	68	3,150	110	$80	$13.2K
99213	2,014	2,900	70	$50	$6.9K
99215	617	1,080	40	$110	$6.8K
99204	55	1,340	30	$100	$4.6K
82306	3	30	20	$30	$2K
86480	2	10	30	$60	$2K
86235	1	10	60	$20	$1.5K
83970	2	10	30	$40	$1.4K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Physicians, LLC	NH	Family Medicine Physician	$0	$5.8M
Steven Graff	RI	Orthopaedic Hand Surgery Physician	$67.7K	$798.6K
Salman Ghiasuddin	MA	Interventional Cardiology Physician	$561.3K	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Eric Walsh	RI	Orthopaedic Hand Surgery Physician	$67.9K	$336.2K
E. William Johnson	NH	Urology Physician	$364.3K	$0
Simon Greenbaum	NY	Orthopaedic Surgery Physician	$348.5K	$0
Cullen Jumper	NH	Urology Physician	$272.1K	$0
James Dolan	NH	Podiatrist	$251.8K	$0
Thomas Mcgovern	NH	Orthopaedic Surgery Physician	$236K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exeter Hospital Inc	NH	General Acute Care Hospital	$0	$12.5M
County Of Rockingham	NH	Nursing Facility/Intermediate Care Facility	$0	$2.6M
Seacoast Pathology Inc	NH	Clinical Medical Laboratory	$1.4M	$994.8K
Emergency Medicine Physicians Of Rockingham County, LLC	NH	Emergency Medicine Physician	$0	$1.4M
Seacoast Youth Services	NH	Adolescent and Children Mental Health Clinic/Center	$0	$1.2M
The Exeter Cooperative School District	NH	Local Education Agency (LEA)	$0	$894.9K
Exeter School District	NH	Local Education Agency (LEA)	$0	$750.7K
Kenneth Brown	NH	Psychiatry Physician	$477.7K	$0
Heidi Mullen	NH	Dermatology Physician	$464.1K	$0
Rockingham Visiting Nurse Association And Hospice	NH	Home Health Agency	$0	$428.4K

Elisabeth Matson — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References