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    OpenPayerNPI Medicare & MedicaidMarshall Matos
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    Marshall Matos — Billing Profile & Reimbursement Data

    NPI 1982767067 · New Rochelle, NY · Cardiovascular Disease Physician

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    Marshall Matos is a cardiovascular disease physician provider located in New Rochelle, New York. This profile covers 9 Medicare and 1 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
    OrganizationMarshall Matos
    Address140 Lockwood Avenue
    CityNew Rochelle
    StateNY
    ZIP10801
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedDecember 19, 2006

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

    Payer SourceTotal Paid
    Medicare$133.7K
    Medicaid$580

    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.

    9 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…670$110$71.4K
    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…220$160$35.7K
    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…700$10$9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$200$5.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$70$4.3K
    93244After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…130$20$2.6K
    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…20$120$2.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$110$2K
    93242In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and…130$10$1.4K

    Medicare: Competitive Analysis & Benchmarks

    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

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933069281,990200$110$30.7K
    992141,73830,45090$100$19K
    992337,9618,64080$100$15.8K
    992913,1964,68050$190$15.2K
    992326,94611,85080$70$13.8K
    9920410,32014,17030$130$6.6K
    930004136,62060$10$2.2K
    93244832020$20$670
    93242523020$10$350

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$20$580

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,4081,710290$110$129.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montefiore Medical CenterNYGeneral Acute Care Hospital$0$961.7M
    Montefiore Medical CenterNYAnesthesiology Physician$1.4M$398.4M
    Montefiore New Rochelle HospitalNYGeneral Acute Care Hospital$0$24.1M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Sachin Kumar Amruthlal JainNYCardiovascular Disease Physician$773K$663.1K
    Mahmood KazmiNYPsychiatry Physician$540.6K$760.6K
    Glenda AgustinCAInternal Medicine Physician$1.3M$6.7K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K
    Matthew ComitoNYDiagnostic Radiology Physician$642.6K$67K
    Venise CameronNYFamily Medicine Physician$593.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York Care At Home LtdNYIn Home Supportive Care Agency$0$29M
    Eye Surgery Center Of Westchester, IncNYOphthalmologic Surgery Clinic/Center$1.8M$2.4M
    Kyle LiptonNYObstetrics & Gynecology Physician$74K$1.3M
    Mordechai BarNYInternal Medicine Physician$659K$391.2K
    David LansNYRheumatology Physician$701.7K$0
    Jefffrey BelmontNYOtolaryngology Physician$350.1K$290.4K
    Kameswari LakshmiNYNephrology Physician$321.6K$199.6K
    Shyam ShivdasaniNYInternal Medicine Physician$457.5K$34.1K
    Stephen TrauzziNYUrology Physician$417.5K$62.2K
    Mark WeigleNYPhysical Medicine & Rehabilitation Physician$362.3K$42.6K

    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. New York Distribution
    Marshall Matos — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Marshall Matos — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York