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    OpenPayerNPI Medicare & MedicaidTerence Matalon
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    Terence Matalon — Billing Profile & Reimbursement Data

    NPI 1538254545 · Philadelphia, PA · Diagnostic Radiology Physician

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    Terence Matalon is a diagnostic radiology physician provider located in Philadelphia, Pennsylvania. This profile covers 25 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTerence Matalon
    Address5501 Old York Rd
    CityPhiladelphia
    StatePA
    ZIP19141
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedOctober 4, 2006

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

    Payer SourceTotal Paid
    Medicare$20.7K
    Medicaid$4K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.140$70$8.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$60$2.9K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.40$40$1.6K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…20$70$1.2K
    76000In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.90$10$1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…100$10$710
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.100$10$710
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.20$40$580
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.50$10$360
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…40$10$320

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    741774471,040110$70$10.7K
    741766391,01070$70$5.6K
    7125092299080$40$5.1K
    7127574685050$70$4.5K
    7126062995060$40$3.9K
    710459451,210290$10$3K
    7356264992050$20$2K
    735648551,07050$20$1.6K
    710461,0841,70070$10$1.6K
    735021,0161,33040$20$1.2K

    Showing 1–10 of 25

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.60$70$4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.359480260$90$115.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Joel WolfPAVascular & Interventional Radiology Physician$1.3M$4.7K
    Edmund HarrisNJDiagnostic Radiology Physician$421.5K$65.4K
    Bethany RichmanPADiagnostic Radiology Physician$429.7K$1.6K
    David HeltzelVADiagnostic Radiology Physician$287.1K$0
    Tina WashingtonILDiagnostic Radiology Physician$228K$270
    Gregory BabigianNJDiagnostic Radiology Physician$216.3K$4.1K
    Azam RizviNJDiagnostic Radiology Physician$217.9K$0
    Abike DurojayeILDiagnostic Radiology Physician$208.6K$650
    Gina Kim-ahnNJDiagnostic Radiology Physician$175.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patriot Home Care, IncPAHome Health Agency$0$135.9M
    Albert Einstein Medical CenterPAGeneral Acute Care Hospital$0$81.1M
    Dr Warren E Smith Community Mental Health Mental Retardation & SubstanPAMental Health Clinic/Center (Including Community Mental Health Center)$0$34.5M
    Pathways To Housing PA, Inc.PACase Management Agency$0$26.4M
    Albert Einstein Medical CenterPARehabilitation Hospital Unit$0$14.5M
    Einstein Practice Plan IncPAEmergency Medicine Physician$0$13.9M
    Einstein Practice Plan IncPADiagnostic Radiology Physician$0$9.6M
    Einstein Practice Plan IncPAPediatrics Physician$0$8M
    Resources For Human Development, Inc.PACase Management Agency$0$7.1M
    Chad Home Health Agency, Inc.PAHome Health Agency$0$6M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Terence Matalon — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Terence Matalon — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania