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    OpenPayerNPI Medicare & MedicaidDouglas Matey
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    Douglas Matey — Billing Profile & Reimbursement Data

    NPI 1801095831 · Victoria, TX · Orthopaedic Surgery Physician

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    Douglas Matey is a orthopaedic surgery physician provider located in Victoria, Texas. This profile covers 16 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
    OrganizationDouglas Matey
    Address6404 Nursery Dr Ste 202
    CityVictoria
    StateTX
    ZIP77904
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 11, 2007

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

    Payer SourceTotal Paid
    Medicare$182.1K
    Medicaid$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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$990$50.6K
    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…500$60$29.8K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,110$23.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…350$50$17.7K
    99203The 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…170$80$12.9K
    27245In 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…10$940$11.3K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,740$10$8.7K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.320$30$8.1K
    73565In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in…250$30$7.1K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…10$360$4.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744719476030$900$38K
    234728420020$740$20.1K
    2724513118020$800$15.2K
    29881406010$700$11.9K
    J7318461001,620$10$11.2K
    992131,64229,79070$60$8.4K
    206101572,48060$50$5.5K
    992225,4447,91030$100$4.9K
    9920342510,82030$70$3.4K
    735028582,28040$20$1.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robin YueTXCardiovascular Disease Physician$146.5K$320
    Daniel BinzTXOrthopaedic Surgery Physician$134.8K$0
    Jerry FollowwillTXOrthopaedic Surgery Physician$122.8K$0
    Taylar HaydenTXSurgical Physician Assistant$82.3K$0
    Peggy AvendanoTXFamily Nurse Practitioner$75.3K$0
    Charles DeesVAEmergency Medicine Physician$57.7K$0
    Deowall Chattar-coraTXPlastic and Reconstructive Surgery Physician$47.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Victoria Surgery CenterTXAmbulatory Surgical Clinic/Center$1.2M$29.9K
    Peter LamTXOphthalmology Physician$944.8K$0
    He LiTXGlaucoma Specialist (Ophthalmology) Physician$440.9K$0
    Wilson AlmonteTXInterventional Pain Medicine Physician$389.7K$0
    Victoria Ambulatory Surgery Center, LPTXAmbulatory Surgical Clinic/Center$348.4K$0
    Herman LeongTXOtolaryngology Physician$261K$0
    John SheffelTXGeneral Practice Physician$76.5K$0
    Daniel SchlichtingTXCertified Registered Nurse Anesthetist$62.3K$0
    Bruce BauknightTXInternal Medicine Physician$40.5K$1.7K
    Tanya SeilerTXObstetrics & Gynecology Physician$10.8K$0

    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. Texas Distribution
    Douglas Matey — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas