Active NPI 1346545233 Individual Practitioner Female Practitioner

Lori L Mathis , ARNP

Nurse Practitioner • Clive, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lori Mathis, ARNP is a certified Nurse Practitioner practicing in Clive, IA. With approximately 16 years of clinical experience since completing medical education in 2010, Lori Mathis delivers high-quality medical care to the local community at 1378 NW 124TH ST.

Lori Mathis is affiliated with Iowa Digestive Disease Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1378 Nw 124th St

Clive, IA 503258151

Telephone 5152886097

Fax 5152888335

Associated Practice Facility / Clinic

🏢 Iowa Endoscopy Center, Inc. Facility NPI 1609968478

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 Clive, IA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +5.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

23 Specialists

Practicing in Clive, IA (1307 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathis (16 Years) 16 Yrs

Clive Specialty Average (10.5 Years) 10.5 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	168	151	$137.00	$70.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$275.00	$129.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	89	$204.00	$100.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$200.00	$86.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	114	$137.00	$71.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	81	$204.00	$100.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$200.00	$87.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$275.00	$129.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	145	$137.00	$71.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	72	$204.00	$102.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$200.00	$88.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$275.00	$133.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	228	175	$137.00	$73.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$200.00	$89.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$275.00	$134.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$194.44	$101.23
99443 Telephone medical discussion with physician, 21-30 minutes	18	18	$88.00	$88.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	95	82	$86.74	$86.50
99442 Telephone medical discussion with physician, 11-20 minutes	91	85	$59.97	$57.61
99213 Established patient office or other outpatient visit, typically 15 minutes	87	81	$137.00	$59.00
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	33	33	$26.00	$11.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$176.38	$85.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$176.00	$86.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	217	$124.89	$58.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$172.00	$84.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$176.00	$84.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$275.00	$125.35
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$117.00	$60.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$73.00	$35.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	6,600	13	$36.73	$17.24
J1745 Injection, infliximab, excludes biosimilar, 10 mg	2,450	22	$110.00	$82.36
99213 Established patient office or other outpatient visit, typically 15 minutes	204	177	$119.00	$57.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$172.00	$84.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	86	$73.00	$34.70
36415 Insertion of needle into vein for collection of blood sample	55	48	$28.00	$2.83
96415 Administration of chemotherapy into vein, each additional hour	43	24	$72.00	$24.00
96413 Infusion of chemotherapy into a vein up to 1 hour	43	24	$317.72	$108.13
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	29	$32.00	$9.40
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	23	14	$158.70	$51.91
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	13	11	$224.00	$56.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$176.00	$85.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,410	14	$110.00	$78.85
99213 Established patient office or other outpatient visit, typically 15 minutes	215	183	$119.00	$57.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$172.00	$83.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	56	$73.00	$34.28
36415 Insertion of needle into vein for collection of blood sample	29	29	$28.00	$2.94
96415 Administration of chemotherapy into vein, each additional hour	24	16	$72.00	$21.23
96413 Infusion of chemotherapy into a vein up to 1 hour	24	16	$308.00	$101.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$32.00	$10.45
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$117.00	$59.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$176.00	$85.26

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A-096152

(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.

Hospital & Practice Group Affiliations

Iowa Digestive Disease Center Pc

1378 Nw 124th St, Clive, IA 503258151

Phone: 5152886097

Iowa Digestive Disease Center Pc

1378 Nw 124th St, Clive, IA 503258151

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Amol Agarwal , MD

Internal Medicine - Gastroenterology

NPI 1043604473

Doctor of Medicine (M.D.)

Samantha Jensen , ARNP

Nurse Practitioner

NPI 1083487920

Advanced Registered Nurse Practitioner

Maria Steele , ARNP

Nurse Practitioner

NPI 1194817247

Advanced Registered Nurse Practitioner

Dr. Michael Obrien , MD

Internal Medicine - Gastroenterology

NPI 1295793420

Doctor of Medicine (M.D.)

Dr. Tercio Lopes , MD

Internal Medicine - Gastroenterology

NPI 1336352772

Doctor of Medicine (M.D.)

Dr. Christopher Mulder , DO

Internal Medicine - Gastroenterology

NPI 1356577951

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2015

Registered at 1378 NW 124TH ST, CLIVE, IA 503258151 (Tel: 5152886097)

📍

Updated Business Mailing Address May 06, 2015

Registered at 1378 NW 124TH ST, CLIVE, IA 503258151 (Tel: 5152886097)

👤

Provider Name / Credentials Updated May 06, 2015

Recorded as LORI MATHIS, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2015

Nurse Practitioner (License #A-096152 in IA)

🟢

Initial NPI Registration & Enumeration January 24, 2011

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: 1346545233

Entity Type:

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

Enumeration Date: January 24, 2011

Last Update: May 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1378 Nw 124th St

Clive, IA 503258151

Phone: 5152886097

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.