Active NPI 1134148067 Individual Practitioner Male Practitioner

Dr. Ricardo Luis Matos , MD

Orthopaedic Surgery • Lighthouse Point, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ricardo Matos, MD is a certified Orthopaedic Surgery practicing in Lighthouse Point, FL. With approximately 29 years of clinical experience since graduating from Ponce School Of Medicine in 1997, Dr. Matos delivers high-quality medical care to the local community at 1821 NE 25TH ST.

Dr. Matos is affiliated with Einstein Practice Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, 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

1821 Ne 25th St

Lighthouse Point, FL 330647744

Telephone 9549420321

Fax 9549467018

Associated Practice Facility / Clinic

🏢 Paul A Rodriguez Do Pa Facility NPI 1881603900

Medicare Profile & Education

Medical School

Ponce School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lighthouse Point, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -12.5 yrs vs City Avg

City Avg: 41.5 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Lighthouse Point, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matos (29 Years) 29 Yrs

Lighthouse Point Specialty Average (41.5 Years) 41.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$190.00	$93.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$130.00	$79.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$245.00	$131.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$275.00	$131.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	54	$178.69	$93.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$264.33	$132.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$232.65	$112.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$244.64	$121.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	47	$475.92	$155.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	24	$323.25	$105.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$608.00	$198.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	81	$173.16	$84.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$270.80	$140.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	84	$85.33	$82.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	85	$84.00	$82.86
72100 X-ray of lower and sacral spine, 2-3 views	42	36	$58.00	$11.83
72170 X-ray of pelvis, 1-2 views	25	24	$48.00	$9.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$151.00	$137.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$151.00	$137.19
72110 X-ray of lower and sacral spine, minimum of 4 views	20	20	$75.00	$16.79
72050 X-ray of upper spine, 4 or 5 views	15	15	$68.00	$16.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$2579.00	$945.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	143	$84.72	$81.49
72170 X-ray of pelvis, 1-2 views	98	98	$49.23	$9.16
99213 Established patient office or other outpatient visit, typically 15 minutes	95	66	$57.34	$52.77
72100 X-ray of lower and sacral spine, 2-3 views	83	63	$62.34	$11.56
72110 X-ray of lower and sacral spine, minimum of 4 views	80	80	$75.00	$16.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$151.00	$136.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$85.95	$81.73
72050 X-ray of upper spine, 4 or 5 views	32	31	$68.00	$16.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	13	$625.00	$287.61
72070 X-ray of middle spine, 2 views	17	15	$55.00	$11.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$151.00	$136.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$2579.00	$889.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	111	$56.19	$53.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	100	$86.45	$80.47
72170 X-ray of pelvis, 1-2 views	95	95	$48.00	$9.17
72100 X-ray of lower and sacral spine, 2-3 views	93	71	$60.58	$11.59
72110 X-ray of lower and sacral spine, minimum of 4 views	87	86	$75.00	$16.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$151.00	$136.39
72050 X-ray of upper spine, 4 or 5 views	33	33	$72.73	$16.30
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	13	$600.00	$247.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$2579.00	$1075.82
72070 X-ray of middle spine, 2 views	13	13	$64.31	$11.26

Medical Specialties & State Licenses

CMS Verified: 2022-07-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD417760

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME90399

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ghi

0502872 (FL)

Commercial Insurance / Payer ID Bc/bs

50209 (FL)

Hospital & Practice Group Affiliations

Einstein Practice Plan Inc

60 E Townshipline Rd, Elkins Park, PA 190272220

Einstein Practice Plan Inc

5501 Old York Rd Wcb 4th Flr, Philadelphia, PA 191413018

Phone: 2154568270

Einstein Practice Plan Inc

50 E Township Line Rd, Elkins Park, PA 190272220

Phone: 2156636067

Einstein Practice Plan Inc

60 E Township Line Rd, Elkins Park, PA 190272220

Einstein Practice Plan Inc

5501 Old York Rd, Phila, PA 191413018

Einstein Practice Plan Inc

Medical Arts Building G-01, Elkins Park, PA 190272220

Phone: 2155725200

Einstein Practice Plan Inc

5501 Old York Rd Levy 2, Philadelphia, PA 191413018

Phone: 2154566786

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Bruce Young , MD

Orthopaedic Surgery

NPI 1013004985

Doctor of Medicine (M.D.)

Dr. Thomas Goberville , MD

Orthopaedic Surgery

NPI 1104913078

Doctor of Medicine (M.D.)

Garrett Taysom

Physical Therapist

NPI 1487585634

Dr. William Mckay , MD

Orthopaedic Surgery

NPI 1619064581

Doctor of Medicine (M.D.)

Dr. Dominic Kleinhenz , MD

Orthopaedic Surgery

NPI 1770670648

Doctor of Medicine (M.D.)

Valerie Mielke , ATC

Specialist/Technologist - Athletic Trainer

NPI 1881185312

Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2013

Registered at 1821 NE 25TH ST, LIGHTHOUSE POINT, FL 330647744 (Tel: 9549420321)

📍

Updated Business Mailing Address January 18, 2013

Registered at 1821 NE 25TH ST, LIGHTHOUSE POINT, FL 330647744 (Tel: 9549420321)

👤

Provider Name / Credentials Updated January 18, 2013

Recorded as RICARDO MATOS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2013

Specialist (License #ME90399 in FL)

🟢

Initial NPI Registration & Enumeration July 19, 2006

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: 1134148067

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: January 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1821 Ne 25th St

Lighthouse Point, FL 330647744

Phone: 9549420321

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.