Active NPI 1982960589 Individual Practitioner Female Practitioner

Raji Mathew , CRNP

Nurse Practitioner - Family • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Raji Mathew, CRNP is a certified Nurse Practitioner - Family practicing in Newark, DE. With approximately 14 years of clinical experience since completing medical education in 2012, Raji Mathew delivers high-quality medical care to the local community at 4051 OGLETOWN-STANTON RD.

Raji Mathew maintains professional affiliations with Delaware Post Acute Medical Services 1, De Pacs 2 Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4051 Ogletown-Stanton Rd

Newark, DE 197131338

Telephone 3029430426

Fax 8773838544

Associated Practice Facility / Clinic

🏢 Evercare Facility NPI 1538411889

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Newark, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +3.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

203 Specialists

Practicing in Newark, DE (715 Statewide)

Telehealth Adoption Rate

24.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathew (14 Years) 14 Yrs

Newark Specialty Average (10.3 Years) 10.3 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	826	211	$344.50	$83.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	477	164	$265.69	$57.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	413	125	$261.91	$82.81
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	255	87	$455.77	$98.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	239	85	$243.41	$57.34
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	216	77	$299.04	$59.06
99497 Advance care planning, first 30 minutes	109	98	$347.16	$63.68
99497 Advance care planning, first 30 minutes	97	84	$348.58	$57.98
99316 Nursing facility discharge management, more than 30 minutes	82	81	$399.27	$101.09
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	71	67	$504.90	$118.71
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	51	38	$199.16	$34.95
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	33	32	$280.67	$117.56
99316 Nursing facility discharge management, more than 30 minutes	28	28	$168.39	$99.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	19	$117.64	$30.94
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	20	19	$637.40	$142.83
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$610.21	$125.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,564	433	$109.62	$89.71
99316 Nursing facility discharge management, more than 30 minutes	212	200	$132.78	$110.40
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	194	176	$159.79	$128.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	105	89	$100.00	$62.62
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	20	$80.00	$33.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,486	387	$100.14	$76.96
99316 Nursing facility discharge management, more than 30 minutes	206	193	$130.00	$87.71
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	143	136	$150.14	$113.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	89	68	$100.00	$58.45
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	17	$80.00	$36.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,476	383	$100.00	$78.05
99316 Nursing facility discharge management, more than 30 minutes	205	193	$130.00	$89.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	151	101	$100.00	$59.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	133	121	$150.00	$115.70
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$140.00	$81.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	17	$80.00	$37.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,140	338	$100.02	$79.18
99316 Nursing facility discharge management, more than 30 minutes	220	203	$130.00	$91.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	112	77	$100.00	$60.30
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	110	102	$150.00	$115.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	16	$80.00	$38.37
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$140.00	$84.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,122	364	$100.00	$79.05
99316 Nursing facility discharge management, more than 30 minutes	225	210	$130.00	$91.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	157	135	$150.00	$117.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	91	59	$100.00	$59.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	13	$80.00	$37.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$180.00	$147.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	901	179	$100.08	$78.61
99316 Nursing facility discharge management, more than 30 minutes	103	101	$130.00	$91.02
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	76	66	$150.00	$116.81

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License DE LG-0000658

Definition to come...

Hospital & Practice Group Affiliations

De Pacs 2 Pa

1212 Foulk Rd, Wilmington, DE 198032741

Phone: 3022468600

Delaware Post Acute Medical Services 1

1912 Marsh Rd, Wilmington, DE 198103954

Phone: 3025291600

De Pacs 2 Pa

1912 Marsh Rd, Wilmington, DE 198103954

Phone: 3025291600

Delaware Post Acute Medical Services 1

6677 Lancaster Pike, Hockessin, DE 197079503

Phone: 3022393200

De Pacs 2 Pa

1519 Rockland Rd, Wilmington, DE 198033611

Phone: 3027773099

Delaware Post Acute Medical Services 1

2723 Shipley Rd, Wilmington, DE 198103251

Phone: 3024790111

De Pacs 2 Pa

2723 Shipley Rd, Wilmington, DE 198103251

Phone: 3024790111

Delaware Post Acute Medical Services 1

700 Foulk Rd, Wilmington, DE 198033708

Phone: 3027640181

De Pacs 2 Pa

6677 Lancaster Pike, Hockessin, DE 197079503

Phone: 3022393200

Delaware Post Acute Medical Services 1

1212 Foulk Rd, Wilmington, DE 198032741

Phone: 3024784296

De Pacs 2 Pa

810 S Broom St, Wilmington, DE 198054245

Phone: 3026521181

Practice Associates & Co-Workers

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

15 Associated Practitioners

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Nurse Practitioner - Psychiatric/Mental Health

NPI 1013474238

Mercedes Ankomah-Vabi , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063889335

Certified Registered Nurse Practitioner

James Baptiste , CRNP

Nurse Practitioner

NPI 1124490636

Certified Registered Nurse Practitioner

Barbara Jacobson , NP

Nurse Practitioner - Gerontology

NPI 1184771610

Nurse Practitioner

Emily Wentzel , CRNP

Nurse Practitioner - Family

NPI 1235673286

Certified Registered Nurse Practitioner

Nancy Dunphy , CRNP

Nurse Practitioner - Adult Health

NPI 1346554706

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 01, 2019

Registered at 1601 MILLTOWN RD, STE 2, WILMINGTON, DE 198084047 (Tel: 3023520517)

✅

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2015

Registered at 4051 OGLETOWN-STANTON RD, NEWARK, DE 197131338 (Tel: 3029430426)

📍

Updated Business Mailing Address August 18, 2015

Registered at 4051 OGLETOWN STANTON RD, NEWARK, DE 197131338 (Tel: 3029430426)

👤

Provider Name / Credentials Updated August 18, 2015

Recorded as RAJI MATHEW, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Nurse Practitioner (License #LG-0000658 in DE)

🟢

Initial NPI Registration & Enumeration April 09, 2012

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: 1982960589

Entity Type:

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

Enumeration Date: April 09, 2012

Last Update: July 01, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1601 Milltown Rd, Ste 2

Wilmington, DE 198084047

Phone: 3023520517

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.