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NPI 1760892343 · Corpus Christi, TX · Orthopaedic Trauma Physician
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Matthew Negem is a orthopaedic trauma physician provider located in Corpus Christi, Texas. This profile covers 9 Medicare and 5 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 | Matthew Negem |
| Address | 613 Elizabeth St Ste 804 |
| City | Corpus Christi |
| State | TX |
| ZIP | 78404 |
| Taxonomy | Orthopaedic Trauma Physician |
| NPI Enumerated | May 5, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $142.3K |
| Medicaid | $11K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27245 | In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the… | 60 | $940 | $59.8K |
| 27236 | In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to… | 50 | $910 | $43.6K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 110 | $130 | $14.2K |
| 27125 | In this procedure, the provider removes a damaged head of the femur and replaces it with a prosthetic device. The provider does not replace the acetabulum. The goal of the procedure is to achieve… | 10 | $850 | $9.4K |
| 27590 | In this procedure the provider completely removes the leg at any point on the femur bone of the thigh. He then closes the wound left with remaining muscular and skin layers. | 10 | $570 | $6.3K |
| 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… | 70 | $50 | $3.6K |
| 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… | 40 | $70 | $3K |
| 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… | 10 | $100 | $1.3K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 30 | $40 | $1.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 60 | $70 | $4.5K |
| 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… | 110 | $40 | $4.5K |
| 99203 | The provider sees a new 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 provider… | 30 | $40 | $980 |
| 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… | 30 | $30 | $680 |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 20 | $30 | $400 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
5 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… | 5,462 | 6,040 | 710 | $40 | $232.8K |
| 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… | 4,282 | 5,810 | 540 | $50 | $155.5K |
| 99203 | The provider sees a new 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 provider… | 1,494 | 1,860 | 130 | $70 | $65.4K |
| 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… | 921 | 1,520 | 100 | $80 | $50.1K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 163 | 190 | 120 | $10 | $8.9K |
Other providers in the same ZIP code as Matthew Negem, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Christus Spohn Health System Corporation | TX | General Acute Care Hospital | $0 | $17.6M |
| Llewellyn Lee | TX | Vascular & Interventional Radiology Physician | $834.2K | $0 |
| Chijioke Ogbu | TX | Nephrology Physician | $685.8K | $0 |
| Benjamin Lee | TX | Nephrology Physician | $610.3K | $0 |
| Arpit Gandhi | TX | Diagnostic Radiology Physician | $451.5K | $0 |
| Paul Heath | TX | Cardiovascular Disease Physician | $416.9K | $0 |
| Lofton Misick | TX | Vascular Surgery Physician | $375K | $0 |
| Aaron Moon | TX | Diagnostic Radiology Physician | $365.3K | $0 |
| Christopher Thomas | TX | Diagnostic Radiology Physician | $353.2K | $0 |
| Rajeev Narang | TX | Pulmonary Disease Physician | $349K | $0 |
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