Active NPI 1902101355 Individual Practitioner Female Practitioner

Michelle M Mathews , APN

Nurse Practitioner • Mattoon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Mathews, APN is a certified Nurse Practitioner practicing in Mattoon, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Michelle Mathews delivers high-quality medical care to the local community at 1005 HEALTH CENTER DR.

Michelle Mathews is affiliated with Sarah Bush Lincoln Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, injection, denosumab, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1005 Health Center Dr

Mattoon, IL 619384693

Telephone 2172584051

Fax 2172584063

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mattoon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +5.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

15 Specialists

Practicing in Mattoon, IL (4929 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathews (16 Years) 16 Yrs

Mattoon Specialty Average (10.6 Years) 10.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	105	$178.39	$79.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	94	73	$40.00	$13.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$174.00	$105.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	40	$248.82	$119.73
99213 Established patient office or other outpatient visit, typically 15 minutes	43	33	$121.84	$55.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$242.00	$149.24
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$118.00	$74.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,320	15	$41.46	$23.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	153	$170.27	$103.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	61	$236.35	$144.35
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$115.33	$74.74
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	44	44	$581.55	$275.91
G0009 Administration of pneumococcal vaccine	43	43	$34.07	$28.97
G0008 Administration of influenza virus vaccine	35	35	$34.66	$28.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$262.55	$106.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	30	30	$83.00	$74.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	18	$58.45	$11.56
81003 Automated urinalysis test	13	13	$25.54	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,020	11	$39.74	$21.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	151	$163.40	$104.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	60	$228.18	$147.74
99213 Established patient office or other outpatient visit, typically 15 minutes	67	56	$110.31	$75.47
G0008 Administration of influenza virus vaccine	38	37	$30.13	$27.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	35	34	$73.17	$67.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	16	$55.36	$11.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$250.18	$108.85
G0009 Administration of pneumococcal vaccine	15	15	$29.00	$27.90

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	243	151	$156.40	$106.54
99213 Established patient office or other outpatient visit, typically 15 minutes	101	80	$106.86	$76.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	49	$216.59	$151.30
G0008 Administration of influenza virus vaccine	42	42	$28.29	$16.21
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	36	36	$56.87	$56.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	15	$52.54	$11.64
G0009 Administration of pneumococcal vaccine	16	16	$27.00	$16.20
90670 Pneumococcal vaccine for injection into muscle	11	11	$328.09	$216.37

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	279	159	$149.10	$90.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	68	$209.04	$121.12
G0008 Administration of influenza virus vaccine	33	31	$27.64	$15.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	12	$49.27	$11.78
99443 Telephone medical discussion with physician, 21-30 minutes	26	25	$144.88	$89.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	25	$45.00	$43.20
G0009 Administration of pneumococcal vaccine	24	23	$27.04	$16.01
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$100.63	$62.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$160.50	$116.42
81003 Automated urinalysis test	11	11	$21.91	$2.24

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	233	148	$142.36	$90.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	165	118	$206.88	$120.94
G0008 Administration of influenza virus vaccine	40	39	$26.80	$15.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	16	$45.84	$13.66
G0009 Administration of pneumococcal vaccine	29	29	$26.17	$15.85
90662 Influenza vaccine split virus, preservative free	25	25	$42.00	$41.16
90670 Pneumococcal vaccine for injection into muscle	19	19	$299.47	$208.91
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$95.65	$61.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$153.36	$110.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$20.82	$18.65

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	117	97	$138.00	$86.73
99284 Emergency department visit with moderate level of medical decision making	71	70	$328.68	$98.31
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$93.00	$58.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	49	$304.81	$117.57
99285 Emergency department visit for life threatening or functioning severity	40	40	$428.95	$144.61
G0008 Administration of influenza virus vaccine	40	40	$25.00	$19.39
90653 Vaccine for influenza for injection into muscle	32	32	$40.00	$39.20
99282 Emergency department visit with straightforward medical decision making	20	20	$119.00	$34.56
G0009 Administration of pneumococcal vaccine	19	19	$25.00	$19.39
90670 Pneumococcal vaccine for injection into muscle	14	14	$290.00	$201.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	85	81	$310.34	$98.08
99285 Emergency department visit for life threatening or functioning severity	48	47	$399.21	$144.77
99283 Emergency department visit with low level of medical decision making	34	34	$172.53	$51.94

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-008644

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209008644

Definition to come...

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Phone: 2172582525

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Robert Wochner , MD

Family Medicine

NPI 1164538864

Doctor of Medicine (M.D.)

Michael Heise , PA

Physician Assistant

NPI 1740619840

Physician Assistant

Jason Mathews , APN

Nurse Practitioner

NPI 1760922397

Advanced Practice Nurse

Dr. Lucas Catt , MD

Family Medicine

NPI 1912174970

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2019

Nurse Practitioner (License #209-008644 in IL)

📍

Updated Practice Location September 25, 2018

Registered at 1005 HEALTH CENTER DR, MATTOON, IL 619384693 (Tel: 2172584051)

📍

Updated Business Mailing Address September 25, 2018

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)

👤

Provider Name / Credentials Updated September 25, 2018

Recorded as MICHELLE MATHEWS, APN

✅

NPI Profile Active February 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2011

Registered at 1000 HEALTH CENTER DR, MATTOON, IL 619389253 (Tel: 2172582576)

📍

Updated Business Mailing Address February 08, 2011

Registered at 1000 HEALTH CENTER DR, MATTOON, IL 619389253 (Tel: 2172582551)

👤

Provider Name / Credentials Updated February 08, 2011

Recorded as MICHELLE MATHEWS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2011

Nurse Practitioner (License #209008644 in IL)

🟢

Initial NPI Registration & Enumeration January 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902101355

Entity Type:

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

Enumeration Date: January 17, 2011

Last Update: November 21, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1005 Health Center Dr Ste 201

Mattoon, IL 619384693

Phone: 2172386055

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

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