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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

H Matthews (NPI 1487637856)

Field	Value
Entity Type	Individual
Organization	H Matthews
Address	1621 N Taylor Dr
City	Sheboygan
State	WI
ZIP	53081
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicare	$685.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	4,600	$40	$161K
J9312	Injection, rituximab, 10 mg	1,740	$60	$109.3K
J0897	Injection, denosumab, 1 mg	4,200	$20	$79.8K
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…	740	$90	$67.2K
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…	400	$130	$51.5K
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…	200	$100	$19K
J3315	Injection, triptorelin pamoate, 3.75 mg	60	$290	$18.4K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	2,720	$10	$16.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	340	$50	$15.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	230	$70	$14.9K

Showing 1–10 of 62

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

H Matthews — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

62 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9312	6	10	2,580	$60	$234.8K
J1569	2	10	4,600	$40	$201.8K
J0897	12	60	2,220	$20	$69.3K
Q5125	1	10	54,090	$1	$25K
J3315	2	10	80	$290	$24.3K
J3490	2	10	30	$260	$22.4K
83880	20	40	30	$40	$16.8K
82746	12	20	150	$10	$15.9K
82306	46	120	20	$30	$13.1K
96413	19	80	110	$90	$12.7K

Showing 1–10 of 62

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Bettag	WI	Medical Oncology Physician	$872.6K	$0
Michael Johnson	WI	Internal Medicine Physician	$137.7K	$0
Nicholas Barnes	WI	Internal Medicine Physician	$137.5K	$0
Matthew Hemsing	WI	Internal Medicine Physician	$134.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vista Care South Dakota, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20M
Sheboygan County Health & Human Services	WI	Community/Behavioral Health Agency	$0	$19.3M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$14.7M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
Universal Home Health Care, Inc	WI	Home Health Agency	$0	$11.6M
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	WI	General Acute Care Hospital	$0	$5M
Sheboygan County Health & Human Services	WI	Case Management Agency	$0	$4.1M
Sheboygan Area School District	WI	Local Education Agency (LEA)	$0	$3.9M
William Shows	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Hospice Advantage, LLC	WI	Community Based Hospice Care Agency	$0	$3.6M

H Matthews — Billing Profile & Reimbursement Data

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H Matthews — 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