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

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

J. Kyle Mathews (NPI 1730379934)

J. Kyle Mathews is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Plano, Texas. This profile covers 13 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.

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	J. Kyle Mathews
Address	3108 Midway Rd
City	Plano
State	TX
ZIP	75093
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	July 25, 2007

Payer Source	Total Paid
Medicare	$55.1K
Medicaid	$0

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

13 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…	280	$60	$17.5K
51729	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…	30	$290	$8.8K
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…	80	$90	$6.8K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	40	$180	$6.4K
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	$5.5K
51797	Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.	30	$150	$4.4K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	40	$90	$3.6K
51784	This test measures the electrical activity in the anal or urethral sphincter muscles.	30	$20	$720
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	210	$1	$430
87210	The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide.	70	$10	$340

Showing 1–10 of 13

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19,721	32,500	110	$80	$17.6K
52000	452	600	60	$160	$12K
51729	26	60	30	$280	$10.2K
99213	4,071	29,790	70	$60	$8.4K
99204	5,481	16,380	30	$110	$5.6K
51797	76	180	30	$130	$5.1K
51798	533	680	130	$10	$1.5K
76830	38	390	20	$60	$1.4K
51784	90	200	30	$20	$1K
83986	7	10	70	$1	$490

J. Kyle Mathews — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References