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

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

Ismael Matus (NPI 1538118070)

Field	Value
Entity Type	Individual
Organization	Ismael Matus
Address	4745 Ogletown-stanton Road
City	Newark
State	DE
ZIP	19713
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicare	$94K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	140	$100	$14.1K
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…	130	$80	$9.8K
31628	The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.	110	$70	$7.7K
31629	The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.	60	$120	$7.2K
31652	The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…	50	$130	$6.7K
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…	60	$110	$6.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$100	$6K
31653	The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…	30	$190	$5.6K
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…	50	$110	$5.3K
31641	In this procedure, the provider performs rigid or flexible bronchoscopy to view airways during a procedure. She may or may not use fluoroscopic guidance. She uses a nonexcision method, such as by…	20	$200	$4.4K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Ismael Matus — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,002	1,830	150	$80	$25.5K
99233	295	500	80	$90	$15.4K
99215	223	570	40	$120	$11K
99223	406	500	50	$130	$10.4K
31653	2	10	40	$190	$7.2K
99204	337	950	30	$110	$6.5K
99205	178	230	30	$150	$6.4K
99222	40	600	40	$100	$5.6K
31652	1	10	40	$140	$5.1K
31628	1	10	70	$70	$4.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Jones	DE	Pulmonary Disease Physician	$95.6K	$0
Eileen Bishop	NH	Critical Care Medicine (Internal Medicine) Physician	$88.9K	$0
Haroon Raja	DE	Pulmonary Disease Physician	$78K	$0
Farid Moosavy	DE	Pulmonary Disease Physician	$73.6K	$0
Patrick Eckert	DE	Critical Care Medicine (Internal Medicine) Physician	$70.2K	$0
Mithil Gajera	DE	Critical Care Medicine (Internal Medicine) Physician	$62.3K	$0
Sajjad Ahmad	DE	Pulmonary Disease Physician	$57K	$0
Jacqueline Pellenbarg	DE	Physician Assistant	$32.2K	$0
Chelsea Miller	DE	Physician Assistant	$30.5K	$0
Trevor Thomas	DE	Medical Physician Assistant	$5.6K	$0

Ismael Matus — Billing Profile & Reimbursement Data

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Ismael Matus — 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

Frequently Asked Questions

References