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    OpenPayerNPI Medicare & MedicaidAlexander Matz
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    Alexander Matz — Billing Profile & Reimbursement Data

    NPI 1861755514 · Wilmington, DE · Pain Medicine Physician

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    Alexander Matz is a pain medicine physician provider located in Wilmington, Delaware. This profile covers 26 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAlexander Matz
    Address405 Silverside Road, Ste 104
    CityWilmington
    StateDE
    ZIP19809
    TaxonomyPain Medicine Physician
    NPI EnumeratedJune 18, 2012

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

    Payer SourceTotal Paid
    Medicare$282.5K
    Medicaid$2.2K

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…270$240$64.6K
    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…610$100$58.2K
    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…740$70$47.8K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…130$200$24.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.320$60$19.7K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.780$30$19.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…30$200$6K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.1,460$1$5.8K
    99204The 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…40$120$5.2K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…30$150$5.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483610230$240$118.8K
    G0482720100$190$33K
    992142561,830150$80$25.5K
    62323324060$180$20.4K
    64493404060$200$19K
    97110459500690$20$16.9K
    80307620200$60$16.4K
    992131181,810120$60$13.6K
    2061010112060$50$12.4K
    96138420190$20$11.4K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$40$1.2K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.80$10$740
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…70$1$200

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Delaware median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4585001,130$50$235.1K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.76110270$1$11.4K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…21301,110$1$8.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Chee WooDEPain Medicine Physician$913.5K$140
    Venkatesh SundararajanPAPain Medicine Physician$498.5K$0
    Terence DuffyDEPain Medicine (Physical Medicine & Rehabilitation) Physician$477K$0
    Maryum RafiqueDEPhysical Medicine & Rehabilitation Physician$437.2K$0
    Philip KimPAPain Medicine Physician$385.9K$300
    Justin WinasPAPain Medicine Physician$325.9K$8.6K
    Manny LaiDEPain Medicine Physician$288.6K$0
    Jason RothNJPain Medicine (Physical Medicine & Rehabilitation) Physician$259.9K$0
    Daniel NasrDEPain Medicine Physician$236.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brandywine Center For Autism, LLCDECommunity/Behavioral Health Agency$0$5.5M
    Your Center, LLCDEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.2M
    Total Care Physicians, P.A.DEFamily Medicine Physician$0$1.6M
    Phoenix Center For Health And Wellness LLCDESubstance Use Disorder Rehabilitation Clinic/Center$0$589.2K
    Brandywine Hundred Fire Co. No. 1DELand Ambulance$283K$243.3K
    Faye DubeDEMental Health Counselor$0$275.4K
    Robert PalandjianDEFamily Medicine Physician$176.4K$0
    Ashley LeddyDEFamily Nurse Practitioner$166.3K$0
    Sriniketh SundarDEPain Medicine Physician$164.7K$0
    Health One P.A.DEChiropractor$0$160.5K

    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. Delaware Distribution
    Alexander Matz — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Alexander Matz — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware