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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMahendra Matta
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    Mahendra Matta — Billing Profile & Reimbursement Data

    NPI 1518936814 · Cincinnati, OH · Surgery Physician

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    Mahendra Matta is a surgery physician provider located in Cincinnati, Ohio. This profile covers 12 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
    OrganizationMahendra Matta
    Address10496 Montgomery Rd
    CityCincinnati
    StateOH
    ZIP45242
    TaxonomySurgery Physician
    NPI EnumeratedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicare$76.7K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…80$210$17.7K
    99213The 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…220$60$13.9K
    45300In this procedure, the provider examines the inner part of the anus, rectum, and the sigmoid colon using a proctosigmoid scope, a short rigid instrument with a camera at its one end. He may also…90$90$8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…60$140$7.8K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…80$80$6.1K
    99203The provider sees a new 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 provider…70$70$4.4K
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…60$80$4.3K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$110$3.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$70$3.2K
    45388In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…20$200$3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538532467050$270$22.9K
    9921417,46320,010100$70$11.7K
    4538026767040$160$9K
    4622143030$190$7.7K
    992133,08320,00070$50$6.6K
    4538841020$240$6.4K
    453786534020$170$4.5K
    992044,8598,33030$100$4.4K
    4530011030$90$3.4K
    992031,1816,38030$60$2.9K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Hospice Of Cincinnati IncorporatedOHCommunity Based Hospice Care Agency$0$54M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M

    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. Ohio Distribution
    Mahendra Matta — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio