Active NPI 1669569307 Individual Practitioner Male Practitioner

Charles Andrew Tilman Matheny , PA-C

Physician Assistant • Rome, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Charles Matheny, PA-C is a certified Physician Assistant practicing in Rome, GA. With approximately 20 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2006, Charles Matheny delivers high-quality medical care to the local community at 1825 MARTHA BERRY BLVD NW.

Charles Matheny is affiliated with Harbin Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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, iron binding capacity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1825 Martha Berry Blvd Nw

Rome, GA 301651625

Telephone 7062955331

Fax 7062388011

Associated Practice Facility / Clinic

🏢 Harbin Clinic, Llc Facility NPI 1679599088

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rome, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +10.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

79 Specialists

Practicing in Rome, GA (4726 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matheny (20 Years) 20 Yrs

Rome Specialty Average (10.0 Years) 10.0 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	204	185	$110.00	$72.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	47	$125.00	$63.59
83550 Iron binding capacity	35	30	$45.00	$8.57
83540 Iron level	35	30	$30.00	$6.34
36415 Insertion of needle into vein for collection of blood sample	13	12	$15.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$160.00	$102.07
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$65.00	$36.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	307	$107.79	$72.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	90	$112.84	$65.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	108	$156.64	$103.01
83550 Iron binding capacity	84	59	$45.00	$8.57
83540 Iron level	84	59	$30.00	$6.34
99441 Telephone medical discussion with physician, 5-10 minutes	51	47	$65.00	$44.57
99442 Telephone medical discussion with physician, 11-20 minutes	32	31	$105.00	$72.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$65.00	$45.14
36415 Insertion of needle into vein for collection of blood sample	13	13	$15.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$241.25	$134.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	89	$110.00	$57.97
99213 Established patient office or other outpatient visit, typically 15 minutes	76	76	$105.00	$72.79
83540 Iron level	63	50	$30.00	$6.41
83550 Iron binding capacity	63	50	$45.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$155.00	$103.15
36415 Insertion of needle into vein for collection of blood sample	43	37	$15.00	$3.00
99441 Telephone medical discussion with physician, 5-10 minutes	43	41	$65.00	$44.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	27	$39.33	$7.77
99442 Telephone medical discussion with physician, 11-20 minutes	30	29	$105.00	$73.00
87328 Detection test for cryptosporidium (parasite)	17	17	$55.00	$13.62
87329 Detection test by immunoassay technique for giardia (intestinal parasite)	17	17	$55.00	$11.81
82728 Ferritin (blood protein) level	16	16	$85.00	$13.62
80053 Blood test, comprehensive group of blood chemicals	16	15	$60.00	$10.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	185	130	$15.00	$3.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	123	$110.00	$59.08
99441 Telephone medical discussion with physician, 5-10 minutes	163	149	$65.00	$45.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	141	$154.08	$105.51
99213 Established patient office or other outpatient visit, typically 15 minutes	125	116	$105.00	$74.15
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	105	84	$26.10	$7.77
99442 Telephone medical discussion with physician, 11-20 minutes	90	80	$105.00	$74.41
83540 Iron level	66	50	$30.00	$6.47
83550 Iron binding capacity	66	50	$45.00	$8.74
80053 Blood test, comprehensive group of blood chemicals	59	48	$60.00	$10.56
82728 Ferritin (blood protein) level	45	34	$85.00	$13.63
80076 Liver function blood test panel	27	24	$50.00	$8.17
80048 Blood test, basic group of blood chemicals (calcium, total)	27	22	$50.00	$8.46
82565 Blood creatinine level	25	24	$30.00	$5.12
85610 Blood test, clotting time	21	18	$30.00	$4.29
85652 Red blood cell sedimentation rate, to detect inflammation, automated	19	14	$25.00	$2.70
87045 Stool culture	19	19	$45.00	$9.44
87493 Detection test for clostridium difficile	17	17	$68.82	$37.27
83630 Stool lactoferrin (immune system protein) analysis	16	16	$46.00	$19.70
87899 Detection test by immunoassay with direct visual observation for other organism	16	16	$45.00	$16.07
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$150.00	$105.79
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	13	$40.00	$6.47
84520 Urea nitrogen level to assess kidney function	13	13	$25.00	$3.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	226	$105.00	$61.37
36415 Insertion of needle into vein for collection of blood sample	195	142	$15.00	$2.98
99441 Telephone medical discussion with physician, 5-10 minutes	168	153	$65.00	$36.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	138	99	$110.00	$61.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	118	88	$40.00	$7.72
99442 Telephone medical discussion with physician, 11-20 minutes	92	84	$105.00	$61.74
83550 Iron binding capacity	83	54	$45.00	$8.70
83540 Iron level	83	54	$30.00	$6.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	66	$150.00	$89.41
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	57	57	$25.00	$12.09
82728 Ferritin (blood protein) level	53	37	$85.00	$13.57
80076 Liver function blood test panel	45	39	$50.00	$8.11
80053 Blood test, comprehensive group of blood chemicals	38	37	$60.00	$10.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$65.00	$36.78
80048 Blood test, basic group of blood chemicals (calcium, total)	25	25	$50.00	$8.40
85610 Blood test, clotting time	24	20	$30.00	$4.26
82150 Amylase (enzyme) level	21	21	$30.00	$6.42
87329 Detection test by immunoassay technique for giardia (intestinal parasite)	17	17	$55.00	$11.91
87328 Detection test for cryptosporidium (parasite)	16	16	$55.00	$13.73
82565 Blood creatinine level	16	16	$30.00	$5.08
87899 Detection test by immunoassay with direct visual observation for other organism	16	16	$45.00	$15.97
87045 Stool culture	16	16	$45.00	$9.38
83630 Stool lactoferrin (immune system protein) analysis	15	15	$46.00	$19.60
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$45.00	$15.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	544	454	$105.00	$60.87
36415 Insertion of needle into vein for collection of blood sample	271	194	$15.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	233	159	$110.00	$61.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	149	113	$40.00	$8.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	125	$150.00	$89.35
83540 Iron level	86	61	$30.00	$7.05
83550 Iron binding capacity	86	61	$45.00	$9.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	75	$65.00	$36.63
80053 Blood test, comprehensive group of blood chemicals	63	54	$60.00	$11.51
80076 Liver function blood test panel	50	40	$50.00	$8.90
82728 Ferritin (blood protein) level	43	37	$85.00	$14.85
80048 Blood test, basic group of blood chemicals (calcium, total)	39	37	$50.00	$9.21
83630 Stool lactoferrin (immune system protein) analysis	30	28	$46.00	$21.37
87045 Stool culture	27	25	$45.00	$10.28
87899 Detection test by immunoassay with direct visual observation for other organism	27	25	$45.00	$15.75
87328 Detection test for cryptosporidium (parasite)	26	25	$55.00	$13.54
87329 Detection test by immunoassay technique for giardia (intestinal parasite)	26	25	$55.00	$13.05
85610 Blood test, clotting time	24	23	$30.00	$4.28
82565 Blood creatinine level	21	21	$30.00	$5.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	19	$70.00	$33.20
82150 Amylase (enzyme) level	19	16	$30.00	$7.06
87493 Detection test for clostridium difficile	17	17	$50.00	$38.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$235.00	$135.98
83735 Magnesium level	15	14	$25.00	$7.29
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	14	$25.00	$2.94
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	12	12	$45.00	$17.32
84520 Urea nitrogen level to assess kidney function	11	11	$25.00	$4.30
86140 Measurement C-reactive protein for detection of infection or inflammation	11	11	$30.00	$5.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	479	416	$105.00	$59.13
36415 Insertion of needle into vein for collection of blood sample	257	196	$15.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	234	$150.00	$87.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	162	$110.00	$60.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	140	114	$40.00	$9.40
80053 Blood test, comprehensive group of blood chemicals	87	78	$60.00	$12.54
83540 Iron level	84	69	$30.00	$7.83
83550 Iron binding capacity	84	69	$45.00	$10.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	64	$65.00	$35.28
82728 Ferritin (blood protein) level	46	43	$85.00	$16.49
80076 Liver function blood test panel	33	31	$50.00	$9.89
85610 Blood test, clotting time	27	24	$30.00	$4.75
82150 Amylase (enzyme) level	25	24	$30.00	$7.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	19	$70.00	$32.63
80048 Blood test, basic group of blood chemicals (calcium, total)	24	24	$50.00	$10.23
83630 Stool lactoferrin (immune system protein) analysis	23	23	$46.00	$23.76
87899 Detection test by immunoassay with direct visual observation for other organism	23	23	$45.00	$15.75
87045 Stool culture	23	23	$45.00	$11.43
87328 Detection test for cryptosporidium (parasite)	22	22	$55.00	$14.50
87329 Detection test by immunoassay technique for giardia (intestinal parasite)	22	22	$55.00	$14.50
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	13	$25.00	$3.26
82607 Cyanocobalamin (vitamin B-12) level	12	12	$65.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	252	193	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	225	216	$105.00	$58.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	171	131	$110.00	$59.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	137	109	$40.00	$10.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	94	$150.00	$86.62
83550 Iron binding capacity	76	63	$45.00	$11.75
83540 Iron level	76	63	$30.00	$8.70
80053 Blood test, comprehensive group of blood chemicals	65	60	$60.00	$14.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	43	$65.00	$34.76
80076 Liver function blood test panel	43	34	$50.00	$10.18
80048 Blood test, basic group of blood chemicals (calcium, total)	38	36	$50.00	$10.28
87427 Detection test by immunoassay technique for shiga-like toxin (bacterial toxin)	38	21	$42.11	$16.11
82728 Ferritin (blood protein) level	35	31	$85.00	$18.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	33	$70.00	$32.42
82150 Amylase (enzyme) level	31	31	$30.00	$8.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$235.00	$133.34
87899 Detection test by immunoassay with direct visual observation for other organism	22	21	$45.00	$16.11
87045 Stool culture	21	21	$45.00	$12.69
83630 Stool lactoferrin (immune system protein) analysis	21	21	$46.00	$26.39
87329 Detection test by immunoassay technique for giardia (intestinal parasite)	20	20	$55.00	$16.11
87328 Detection test for cryptosporidium (parasite)	20	20	$55.00	$16.11
85652 Red blood cell sedimentation rate, to detect inflammation, automated	18	14	$25.00	$3.63
85610 Blood test, clotting time	17	16	$30.00	$5.28
87449 Detection test by immunoassay technique for other organism	16	15	$55.00	$16.11
87324 Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)	16	15	$55.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2020-04-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 004873

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

514162077A (GA)

Hospital & Practice Group Affiliations

Harbin Clinic Llc

501 Redmond Rd Nw, Rome, GA 301651415

Phone: 7062910291

Harbin Clinic Llc

14 Cherokee Rd, Cedartown, GA 301254381

Phone: 7707495400

Harbin Clinic Llc

1825 Martha Berry Blvd Nw, Rome, GA 301651625

Phone: 7622352495

Harbin Clinic Llc

101 Redmond Rd, Rome, GA 301651535

Phone: 7622351760

Harbin Clinic Llc

304 Turner Mccall Blvd Sw, Rome, GA 301655621

Phone: 7065095000

Harbin Clinic Llc

150 Gentilly Blvd, Cartersville, GA 301208522

Phone: 4704907470

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lisa Powers , CFNP

Nurse Practitioner - Family

NPI 1043539646

Dr. Peter Adams , MD

Surgery

NPI 1083843627

Doctor of Medicine (M.D.)

Steven Fellows , MA

Audiologist

NPI 1124184734

Master of Arts

Dr. Darshak Pandya , DO

Internal Medicine - Pulmonary Disease

NPI 1124248802

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert King , MD

Otolaryngology

NPI 1164584025

Doctor of Medicine (M.D.)

Dr. Roman Galysh , MD

Internal Medicine - Gastroenterology

NPI 1235348004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 07, 2019

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7622351000)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7062955331)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7062955331)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MATHENY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #004873 in GA)

🟢

Initial NPI Registration & Enumeration October 06, 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: 1669569307

Entity Type:

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

Enumeration Date: October 06, 2006

Last Update: April 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7622351000

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.