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NPI 1649270224 · Harvey, IL · Retina Specialist (Ophthalmology) Physician
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Mathew Maccumber is a retina specialist (ophthalmology) physician provider located in Harvey, Illinois. This profile covers 21 Medicare and 12 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 | Mathew Maccumber |
| Address | 71 W 156th St |
| City | Harvey |
| State | IL |
| ZIP | 60426 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | July 26, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $1.1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,480 | $670 | $993.3K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 24,720 | $30 | $716.9K |
| J3490 | Unclassified drugs | 150 | $1,720 | $254K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 1,600 | $90 | $144.1K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 1,410 | $100 | $138.6K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 2,990 | $30 | $92.7K |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 750 | $120 | $90K |
| J3590 | Unclassified biologics | 40 | $2,060 | $76.3K |
| J2778 | Injection, ranibizumab, 0.1 mg | 200 | $180 | $35.1K |
| 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… | 310 | $70 | $21.2K |
Showing 1–10 of 21
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
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 32 | 140 | 700 | $690 | $688.4K |
| J2777 | 19 | 90 | 9,180 | $30 | $451K |
| J2778 | 22 | 20 | 540 | $180 | $214.9K |
| J2781 | 5 | 10 | 600 | $120 | $86.8K |
| 67028 | 32 | 190 | 400 | $90 | $64.4K |
| J3590 | 6 | 10 | 40 | $320 | $36.1K |
| 92014 | 30 | 1,420 | 130 | $80 | $24.7K |
| J9035 | 79 | 130 | 140 | $60 | $24.6K |
| 67042 | 31 | 50 | 20 | $870 | $21.8K |
| J3490 | 22 | 140 | 50 | $210 | $19.4K |
Showing 1–10 of 21
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 850 | $880 | $751.5K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 1,850 | $130 | $240K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 4,260 | $20 | $68.2K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 2,060 | $30 | $57.7K |
| 92226 | N/A | 930 | $20 | $14.9K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 810 | $10 | $4K |
| 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… | 60 | $30 | $2K |
| 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… | 40 | $40 | $1.9K |
| J9035 | Injection, bevacizumab, 10 mg | 30 | $30 | $920 |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 60 | $10 | $560 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 7 | 50 | 200 | $1,100 | $391.2K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 27 | 120 | 540 | $160 | $166.3K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 241 | 1,230 | 450 | $40 | $54.1K |
| 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… | 11,262 | 14,680 | 300 | $50 | $48.7K |
| J9035 | Injection, bevacizumab, 10 mg | 68 | 80 | 290 | $60 | $43.4K |
| 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… | 12,899 | 14,190 | 280 | $20 | $38.9K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 19 | 250 | 510 | $20 | $20.1K |
| 92226 | N/A | 20 | 50 | 430 | $20 | $19.5K |
| 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… | 1,587 | 2,800 | 60 | $80 | $17.7K |
| 92225 | N/A | 33 | 40 | 90 | $30 | $14.6K |
Showing 1–10 of 12
Other providers in the same ZIP code as Mathew Maccumber, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Christian Health Center | IL | Federally Qualified Health Center (FQHC) | $0 | $34.1M |
| New Choice Intervention, Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $15.2M |
| Zac Ravage | IL | Retina Specialist (Ophthalmology) Physician | $4.2M | $167.5K |
| Jack Cohen | IL | Retina Specialist (Ophthalmology) Physician | $3.8M | $445.2K |
| Sohail Hasan | IL | Retina Specialist (Ophthalmology) Physician | $3.4M | $34.2K |
| Joseph Civantos | IL | Retina Specialist (Ophthalmology) Physician | $2.7M | $537.4K |
| Vivek Chaturvedi | IL | Retina Specialist (Ophthalmology) Physician | $2.3M | $918.3K |
| Kourous Rezaei | IL | Retina Specialist (Ophthalmology) Physician | $2.7M | $0 |
| Naryan Sabherwal | IL | Retina Specialist (Ophthalmology) Physician | $1.2M | $949.6K |
| Andy Lin | IL | Clinical Cardiac Electrophysiology Physician | $660K | $451.4K |
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