Active NPI 1962459826 Individual Practitioner Male Practitioner

Dr. Sanjeev Mathur , MD

Internal Medicine • Holland, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjeev Mathur, MD is a certified Internal Medicine practicing in Holland, MI. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Mathur delivers high-quality medical care to the local community at 3235 N WELLNESS DR.

Dr. Mathur accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3235 N Wellness Dr
#120b

Holland, MI 494247264

Telephone 6163999522

Associated Practice Facility / Clinic

🏢 Michigan Medical Patient Care Facility NPI 1730242330

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Holland, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +19.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

36 Specialists

Practicing in Holland, MI (6010 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathur (39 Years) 39 Yrs

Holland Specialty Average (19.4 Years) 19.4 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
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	263	115	$30.00	$15.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	133	$228.44	$70.76
99213 Established patient office or other outpatient visit, typically 15 minutes	113	59	$157.26	$59.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$215.00	$12.72

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	292	144	$210.00	$68.74
99213 Established patient office or other outpatient visit, typically 15 minutes	157	69	$150.00	$57.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$215.00	$45.82

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	319	156	$210.00	$68.83
99213 Established patient office or other outpatient visit, typically 15 minutes	145	76	$150.00	$57.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$215.00	$41.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$23.00	$8.04
99495 Transitional care management services for problem of at least moderate complexity	13	12	$330.00	$85.58

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	379	182	$201.77	$60.99
99213 Established patient office or other outpatient visit, typically 15 minutes	199	101	$140.85	$41.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$207.79	$128.02
99442 Telephone medical discussion with physician, 11-20 minutes	37	21	$137.84	$66.60
99495 Transitional care management services for problem of at least moderate complexity	22	20	$309.91	$132.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$23.00	$8.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$286.92	$86.94

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	375	198	$137.07	$51.82
99213 Established patient office or other outpatient visit, typically 15 minutes	193	116	$75.26	$33.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$180.00	$111.91
99442 Telephone medical discussion with physician, 11-20 minutes	24	23	$78.13	$50.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$23.00	$8.45
99495 Transitional care management services for problem of at least moderate complexity	12	12	$135.83	$102.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$104.00	$51.14

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	408	195	$107.23	$50.30
99213 Established patient office or other outpatient visit, typically 15 minutes	330	187	$53.74	$33.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$180.00	$111.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$17.22	$8.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	23	$23.00	$8.36
17000 Destruction of skin growth	19	15	$52.00	$51.38
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$26.00	$9.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$104.00	$50.98

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	419	193	$107.64	$64.60
99213 Established patient office or other outpatient visit, typically 15 minutes	416	208	$52.03	$42.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$14.88	$9.66
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$26.00	$10.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$105.00	$75.52
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	22	$23.00	$8.35

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	475	210	$106.64	$72.10
99213 Established patient office or other outpatient visit, typically 15 minutes	435	210	$51.79	$46.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$13.17	$9.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$23.00	$8.30
77080 Dxa bone density measurement of hip, pelvis, spine	24	24	$26.00	$9.97
17000 Destruction of skin growth	13	13	$51.96	$51.39

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301062113

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

13 Associated Practitioners

Megan Donnelly

Nurse Practitioner - Family

NPI 1023936408

Dr. Timothy Conlon , DO

Internal Medicine

NPI 1043250129

Doctor of Osteopathic Medicine (D.O.)

Anna Karolionok , AGNP

Nurse Practitioner - Adult Health

NPI 1053931899

Adult-Gerontology Nurse Practitioner

Dr. Michael Lamphere , DNP

Nurse Practitioner

NPI 1134888506

Doctor of Nursing Practice

Hannah Clark , NP

Nurse Practitioner - Family

NPI 1245614726

Nurse Practitioner

Michelle Achterhof , LMSW

Social Worker - Clinical

NPI 1245803774

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2015

Registered at 3235 N WELLNESS DR, #120B, HOLLAND, MI 494247264 (Tel: 6163999522)

📍

Updated Business Mailing Address July 29, 2015

Registered at 3235 N WELLNESS DR, SUITE 120B BLDG A, HOLLAND, MI 494247264

👤

Provider Name / Credentials Updated July 29, 2015

Recorded as SANJEEV MATHUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2015

Internal Medicine (License #4301062113 in MI)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1962459826

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: July 29, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3235 N Wellness Dr, Suite 120b Bldg A

Holland, MI 494247264

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.