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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCosty Mattar
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    Costy Mattar — Billing Profile & Reimbursement Data

    NPI 1780860411 · Hutchinson, KS · Cardiovascular Disease Physician

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    Costy Mattar is a cardiovascular disease physician provider located in Hutchinson, Kansas. This profile covers 54 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCosty Mattar
    Address2101 N Waldron St
    CityHutchinson
    StateKS
    ZIP67502
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 11, 2008

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the claims record: lifetime Medicare revenue is $1.6M while Medicaid shows none on file, indicating the practice’s current billing exposure is concentrated in Medicare rather than state Medicaid programs. The NPI was enumerated on 2008-01-11 (~18 years ago), showing long tenure that supports an established referral and billing footprint in the Medicare population.

    Revenue is highly concentrated in three imaging/diagnostic codes: the top 3 Medicare codes (78431, A9555, 93306) account for 69.0% of the provider's total Medicare revenue, signaling dependence on a small number of high-value services. Specifically, 78431 ($488.3K, 32.0%), A9555 ($442.7K, 29.0%), and 93306 ($120.1K, 7.9%) together drive the majority of billed dollars, which implies limited revenue diversification across other service lines.

    The code mix signals an imaging‑centric cardiovascular practice: heavy utilization of cardiac PET/atomic perfusion codes (78431 and A9555) together with high volumes of transthoracic echocardiography (93306, 93350, 93320) and SPECT (78452) suggests the provider operates as a referral destination for advanced noninvasive cardiac imaging and diagnostic testing rather than purely office‑based cardiology. High average paid/claim for 78431 ($2069 avg paid/claim) and A9555 ($946 avg paid/claim) further emphasize that high-reimbursement imaging studies underpin revenue.

    Several diagnostic and monitoring services are extreme national volume outliers, indicating unusually large throughput in select areas: 93306 ranks #142 of 24624 (99th percentile; extreme outlier, far above typical national volume) and 93000 ranks #44 of 71016 (100th percentile; extreme outlier, far above typical national volume). These ranks show the provider reports echocardiography and ECG interpretation volumes that are far higher than typical peers, consistent with a high‑volume imaging operation.

    Cardiac catheterization imaging and interventional supervision are a meaningful secondary service line: 93454 (imaging supervision for coronary angiography) appears at $23.1K and ranks #9 of 2695 (100th percentile; extreme outlier, far above typical national volume), and 93455 ranks #2 of 306 (99th percentile; extreme outlier, far above typical national volume). At the same time, interventional procedure 92928 (PCI in a single major coronary artery) shows 102 claims and $41.2K revenue and ranks #112 of 5112 (98th percentile; notably above typical national volume), indicating active involvement in invasive coronary procedures alongside imaging supervision.

    Outpatient evaluation & management activity is also elevated: 99214 accounts for $100.3K (6.6% of Medicare revenue) across 1.2K claims and ranks #7707 of 479517 (98th percentile; extreme outlier, far above typical national volume), while 99213 ranks in the 96th percentile. This mix suggests substantial clinic throughput supporting the diagnostic and procedure volumes rather than purely episodic consults.

    The practice shows sizable remote monitoring and device follow‑up billing, with multiple remote interrogation and monitoring codes reported at notable percentiles (G2066, 93294, 93296, 93295, 93298). For example, 93294 (658 claims, $13.8K) ranks #596 of 7466 (92th percentile; notably above typical national volume) and 93296 (906 claims, $13.6K) ranks #403 of 4996 (92th percentile); these patterns imply an ongoing device-management workload and a population under active cardiac device surveillance.

    While the provider posts strong national volumes in a cluster of imaging and device codes, the practice’s dependence on a small set of high-dollar imaging services (78431 and A9555 together represent 61.0% of Medicare revenue) and the absence of any Medicaid billing represent concentration risks. Any changes in Medicare imaging utilization, reimbursement, or referral patterns could materially impact revenue given the limited payer diversity and the top‑3 code concentration (69.0%).

    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…240$2,070$488.3K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries470$950$442.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,280$90$120.1K
    99214The 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…1,170$90$100.3K
    J2785Injection, regadenoson, 0.1 mg1,300$40$55.9K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…100$400$41.2K
    99213The 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…640$60$37.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$320$25.1K
    93000The 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…2,770$10$24.9K
    93454In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…190$120$23.1K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A955521060$440$79.2K
    7843113050$680$45.3K
    A95022330210$90$30.2K
    933066220260$70$23.9K
    3320895020$790$23K
    J2785650250$40$22.9K
    G20662360250$50$21.1K
    784528716090$160$20.2K
    9292856040$440$19.9K
    93458399040$270$19.6K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hutchinson Clinic, P.A. Inc.KSRural Health Clinic/Center$0$9.1M
    Sarah FinchKSFamily Nurse Practitioner$6.2M$0
    Hutchinson Clinic, P.A., Inc.KSInternal Medicine Physician$0$5.1M
    Michael SchekallMNDiagnostic Radiology Physician$1.7M$710
    Hutchinson Clinic, P.A., Inc.KSClinical Medical Laboratory$1M$288.6K
    Fadi EstephanKSHematology & Oncology Physician$1.2M$1.2K
    Glenda HolzmanKSDiagnostic Radiology Physician$1.1M$440
    Hutchinson Clinic, PA, Inc.KSRural Health Clinic/Center$0$1.1M
    Humayun AshrafKSPulmonary Disease Physician$849.4K$0
    Russell KelleyKSDermatology Physician$508.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prairiestar Health Center, IncKSFederally Qualified Health Center (FQHC)$0$13.9M
    Hutchinson Regional Medical Center, Inc.KSGeneral Acute Care Hospital$0$2.4M
    Hutchinson Homestead Assisted Living, LLCKSAssisted Living Facility$0$2.4M
    Hutchinson Ambulatory Surgery Center, LLCKSAmbulatory Surgical Clinic/Center$1.3M$846.5K
    Hospice Of Reno County, Inc.KSCommunity Based Hospice Care Agency$0$1.8M
    Kricket YoungKSPediatric Dentistry$0$1.6M
    Vep Hutchinson Emergency Medical Group, LLCKSEmergency Medicine Physician$0$1.6M
    Hutchinson Regional Medical Center, Inc.KSLand Ambulance$0$1.2M
    Bladon Dialysis LLCKSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$805.5K
    Patrick FluckKSNephrology Physician$502.1K$50

    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. Kansas Distribution
    Costy Mattar — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas