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NPI 1609977719 · Lindenhurst, NY · Internal Medicine Physician
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Mary Mattheos is a internal medicine physician provider located in Lindenhurst, New York. This profile covers 37 Medicare and 14 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mary Mattheos |
| Address | 350 W Montauk Hwy |
| City | Lindenhurst |
| State | NY |
| ZIP | 11757 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $599.9K |
| Medicare | $446.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
37 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,480 | $70 | $176.2K |
| 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… | 540 | $110 | $58.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 310 | $150 | $46.2K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 7,350 | $1 | $29.4K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 480 | $60 | $27.1K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 560 | $50 | $26.1K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 560 | $40 | $24.6K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 90 | $80 | $6.9K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 30 | $200 | $5.1K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 120 | $40 | $5K |
Showing 1–10 of 37
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
37 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99490 | 242 | 1,210 | 150 | $50 | $21K |
| 99214 | 2,609 | 30,450 | 90 | $100 | $19K |
| 20611 | 460 | 740 | 80 | $90 | $15.9K |
| 99439 | 169 | 460 | 90 | $40 | $13.8K |
| 99457 | 52 | 480 | 150 | $40 | $12.5K |
| 99454 | 39 | 420 | 130 | $40 | $12.5K |
| 99213 | 47 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 173 | 6,290 | 50 | $130 | $11.2K |
| 95004 | 30 | 300 | 1,360 | $1 | $10.4K |
| 90677 | 968 | 2,480 | 20 | $280 | $7.8K |
Showing 1–10 of 37
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 9,580 | $50 | $479K |
| 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… | 340 | $70 | $24.3K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 110 | $190 | $21.7K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,560 | $10 | $18.7K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 200 | $80 | $15.6K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 660 | $20 | $15.1K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 720 | $20 | $13.6K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 130 | $70 | $8.7K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 120 | $20 | $2.8K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 150 | $10 | $1.9K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,527 | 19,110 | 360 | $70 | $321K |
| 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… | 6,990 | 16,550 | 220 | $90 | $186.8K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 219 | 410 | 150 | $190 | $151.6K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 425 | 750 | 170 | $20 | $90K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 1,001 | 2,010 | 200 | $90 | $81.7K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 1,010 | 1,880 | 170 | $80 | $69K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 203 | 480 | 400 | $30 | $43.5K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 165 | 710 | 150 | $30 | $15.4K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 1,501 | 2,890 | 170 | $10 | $15.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 569 | 3,120 | 260 | $10 | $11.8K |
Showing 1–10 of 14
Other providers in the same ZIP code as Mary Mattheos, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Zwanger & Pesiri Radiology Group, LLP | NY | Diagnostic Radiology Physician | $0 | $35.5M |
| Lisa Kalimi | NY | Diagnostic Radiology Physician | $1.9M | $49K |
| Guy Bassis | NY | Diagnostic Radiology Physician | $1.5M | $112.3K |
| Patricia Kelly | NY | Diagnostic Radiology Physician | $1.1M | $54.3K |
| Eliyahu Engelsohn | NY | Neuroradiology Physician | $1M | $91.5K |
| Mark Decker | NY | Diagnostic Radiology Physician | $962K | $141.1K |
| Katya Shpilberg | NY | Diagnostic Radiology Physician | $971.1K | $87.9K |
| Barry Balot | NY | Internal Medicine Physician | $724.6K | $192.5K |
| Vaiman Tsang | NY | Diagnostic Radiology Physician | $790.6K | $53.7K |
| Alex Rosioreanu | NY | Diagnostic Radiology Physician | $616.4K | $90.2K |
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