Active NPI 1134731268 Individual Practitioner Female Practitioner

Imelda Miranda Mata

Physician Assistant • Chico, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Imelda Mata is a certified Physician Assistant practicing in Chico, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Imelda Mata delivers high-quality medical care to the local community at 80 DECLARATION DR.

Imelda Mata is affiliated with Hodari Md Dermatology Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

80 Declaration Dr

Chico, CA 959734900

Telephone 5308946832

Associated Practice Facility / Clinic

🏢 C. Randy Landis, Dds, Inc. Facility NPI 1306071758

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chico, CA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -3.4 yrs vs City Avg

City Avg: 12.4 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

48 Specialists

Practicing in Chico, CA (14617 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mata (9 Years) 9 Yrs

Chico Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,646	320	$21.00	$6.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,281	657	$274.00	$80.41
17000 Destruction of skin growth	591	383	$209.00	$45.52
17110 Destruction of up to 14 skin growths	438	295	$357.00	$101.44
11102 Tangential biopsy of single skin lesion	350	275	$319.00	$79.20
17004 Destruction of precancer skin growth, 15 or more growths	281	173	$526.00	$151.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$339.00	$98.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	125	$388.00	$113.02
11103 Biopsy of related skin growth, each additional growth	127	87	$157.00	$45.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	62	$173.00	$49.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	42	$760.00	$110.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	44	$1323.00	$376.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	28	$20.00	$0.99
11900 Injection into skin growth, 1-7 growths	39	28	$177.00	$36.50
10060 Simple or single drainage of skin abscess	37	28	$389.00	$111.44
17111 Destruction of skin growth, 15 or more growths	35	22	$415.00	$121.13
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	32	24	$700.00	$388.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	21	$555.00	$143.26
96573 Application of light by qualified health care professional to destroy precancer skin growth	25	19	$735.00	$209.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$502.00	$146.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	20	$1238.00	$348.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$1461.00	$420.84
11200 Removal of skin tag, 1-15 skin tags	14	12	$284.00	$68.75
69100 Biopsy of ear	14	14	$301.00	$58.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$862.00	$124.41
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$784.00	$113.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,044	247	$20.23	$6.16
99213 Established patient office or other outpatient visit, typically 15 minutes	1,067	521	$260.42	$79.71
17000 Destruction of skin growth	469	314	$200.21	$44.47
17110 Destruction of up to 14 skin growths	326	241	$342.06	$103.06
11102 Tangential biopsy of single skin lesion	303	226	$305.07	$79.39
17004 Destruction of precancer skin growth, 15 or more growths	206	126	$482.42	$153.15
11103 Biopsy of related skin growth, each additional growth	114	74	$149.48	$45.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	75	$361.32	$112.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$336.94	$97.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$169.77	$49.63
17111 Destruction of skin growth, 15 or more growths	44	18	$386.56	$119.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	31	$1242.16	$363.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	26	$729.80	$110.63
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	29	$1319.99	$425.14
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	19	$719.28	$114.11
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	16	$1120.78	$350.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	13	$691.00	$384.48
96573 Application of light by qualified health care professional to destroy precancer skin growth	15	12	$650.71	$213.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	12	$538.98	$150.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$502.00	$146.18
11900 Injection into skin growth, 1-7 growths	13	12	$165.59	$37.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	12	$17.20	$1.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,953	284	$12.44	$6.14
99213 Established patient office or other outpatient visit, typically 15 minutes	1,050	676	$160.82	$79.66
17000 Destruction of skin growth	460	349	$121.42	$43.55
11102 Tangential biopsy of single skin lesion	404	341	$187.70	$80.31
17110 Destruction of up to 14 skin growths	382	304	$207.43	$100.43
17004 Destruction of precancer skin growth, 15 or more growths	335	237	$306.90	$152.07
11103 Biopsy of related skin growth, each additional growth	204	129	$93.28	$46.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$197.88	$98.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$226.37	$112.50
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	54	46	$775.83	$368.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	47	$442.92	$109.38
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	50	44	$726.75	$337.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$100.52	$49.77
11200 Removal of skin tag, 1-15 skin tags	35	33	$162.98	$49.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	25	$2.01	$1.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	24	$502.13	$123.99
11900 Injection into skin growth, 1-7 growths	27	24	$102.71	$39.60
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	26	$858.16	$422.94
17111 Destruction of skin growth, 15 or more growths	26	18	$241.94	$119.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$294.59	$146.12
10060 Simple or single drainage of skin abscess	16	16	$225.17	$101.38
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$458.72	$113.10
11104 Punch biopsy, first skin growth	13	13	$233.12	$115.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,150	185	$11.93	$5.94
99213 Established patient office or other outpatient visit, typically 15 minutes	399	345	$160.62	$80.74
17000 Destruction of skin growth	266	237	$119.24	$40.73
11102 Tangential biopsy of single skin lesion	234	215	$188.10	$81.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	227	227	$197.35	$99.08
17110 Destruction of up to 14 skin growths	203	183	$207.28	$100.75
17004 Destruction of precancer skin growth, 15 or more growths	157	129	$299.83	$148.34
11103 Biopsy of related skin growth, each additional growth	131	83	$95.95	$47.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$99.77	$49.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	30	$447.22	$109.60
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	32	30	$735.57	$361.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	22	$785.77	$384.70
10060 Simple or single drainage of skin abscess	24	23	$222.33	$105.46
11200 Removal of skin tag, 1-15 skin tags	22	22	$162.55	$49.64
11104 Punch biopsy, first skin growth	17	15	$222.02	$117.48
69100 Biopsy of ear	17	17	$179.52	$58.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$506.58	$126.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	11	$322.56	$136.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$295.41	$147.70

Medical Specialties & State Licenses

CMS Verified: 2020-08-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56624

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Hodari Md Dermatology Inc

80 Declaration Dr, Chico, CA 959734900

Phone: 5308946832

Hodari Md Dermatology Inc

1178 Live Oak Blvd, Yuba City, CA 959913407

Phone: 5308946832

Hodari Md Dermatology Inc

95 Declaration Dr, Chico, CA 959734916

Phone: 5308946832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Kirsten Schwab , PA-C

Physician Assistant

NPI 1063722486

Physician Assistant (Certified)

Gagan Takhar

Physician Assistant

NPI 1457914772

Dr. Kafele Hodari , MD

Dermatology

NPI 1952527319

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 19, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2020

Registered at 80 DECLARATION DR, CHICO, CA 959734900 (Tel: 5308946832)

📍

Updated Business Mailing Address August 19, 2020

Registered at 4944 WILL T RD, CHICO, CA 959739411 (Tel: 5305210291)

👤

Provider Name / Credentials Updated August 19, 2020

Recorded as IMELDA MATA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Physician Assistant (License #56624 in CA)

🟢

Initial NPI Registration & Enumeration August 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134731268

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2020

Last Update: August 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4944 Will T Rd

Chico, CA 959739411

Phone: 5305210291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.