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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Mcauliffe
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    Matthew Mcauliffe — Billing Profile & Reimbursement Data

    NPI 1821388562 · Houston, TX · Physical Medicine & Rehabilitation Physician

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    Matthew Mcauliffe is a physical medicine & rehabilitation physician provider located in Houston, Texas. This profile covers 19 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
    OrganizationMatthew Mcauliffe
    Address3010 Yellowstone Blvd
    CityHouston
    StateTX
    ZIP77054
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 14, 2011

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

    Payer SourceTotal Paid
    Medicare$470.8K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…2,850$80$236.2K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…490$140$68.7K
    95939The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.390$90$36K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…790$40$27.6K
    95955In this procedure, the provider uses electroencephalographic monitoring of a patient during nonintracranial surgery like cardiac surgery or carotid stenting.630$40$25.8K
    95861In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…390$60$24.7K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…530$40$18.7K
    95868The provider inserts a needle electrode into muscle innervated by cranial nerves on both sides of the body and records the electrical activity of the muscle or muscles during rest and contraction. He…170$50$8.2K
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…130$40$5.9K
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…100$50$4.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930951,840240$70$35K
    95939150110$120$15K
    95938270130$60$13.7K
    959134413030$210$11.2K
    99306684050$130$9.9K
    95886745070$70$9.7K
    95861160100$70$9.3K
    9595514040$50$7.8K
    9586812060$50$4.3K
    959103920020$120$4.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    John PitcherNMOphthalmology Physician$5.1M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    University Of Alabama At BirminghamALClinical Medical Laboratory$2.9K$3.2M
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tcg Interests, LLCTXDurable Medical Equipment & Medical Supplies$0$52.4M
    Texas Quality One Medical Services Inc.TXPersonal Care Attendant$0$31.7M
    Siblings Healthcare Solutions LLCTXHome Health Agency$0$19.7M
    National Seating & Mobility, Inc.TXDurable Medical Equipment & Medical Supplies$0$17.7M
    Option Care Enterprises, Inc.TXHome Infusion Therapy Pharmacy$0$13.8M
    Optimal In Home Care Inc.TXPersonal Care Attendant$0$13.6M
    United Seating And Mobility LLCTXDurable Medical Equipment & Medical Supplies$0$11.6M
    Privia Medical Group Gulf Coast, PLLCTXObstetrics & Gynecology Physician$0$11.3M
    Access Dx Laboratory LLCTXClinical Medical Laboratory$458.3K$4.3M
    Ignacio ValdesTXPsychiatry Physician$404.4K$2.1M

    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
    Matthew Mcauliffe — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas