Active NPI 1518936814 Individual Practitioner Male Practitioner

Dr. Mahendra K Matta , MD

Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mahendra Matta, MD is a certified Surgery practicing in Cincinnati, OH. With approximately 56 years of clinical experience since completing medical education in 1970, Dr. Matta delivers high-quality medical care to the local community at 10496 MONTGOMERY RD.

Dr. Matta accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of rectum and large bowel using an endoscope, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10496 Montgomery Rd
Suite 204

Cincinnati, OH 452425223

Telephone 5137939835

Fax 5137939837

Associated Practice Facility / Clinic

🏢 Trihealth Physician Institute Facility NPI 1265513048

Medicare Profile & Education

Medical School

Other

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +32.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

96 Specialists

Practicing in Cincinnati, OH (1313 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matta (56 Years) 56 Yrs

Cincinnati Specialty Average (23.3 Years) 23.3 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	194	133	$90.00	$87.26
45300 Diagnostic examination of rectum and large bowel using an endoscope	100	71	$150.00	$118.91
46600 Diagnostic examination of the anus using an endoscope	55	48	$110.00	$110.01
46930 Destruction of internal anal hemorrhoids	48	19	$400.00	$205.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$150.00	$79.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$900.00	$209.85
99234 Hospital observation or inpatient care low severity, 40 minutes per day	42	42	$175.00	$93.74
45380 Biopsy of large bowel using an endoscope	39	39	$716.67	$68.72
46221 Removal of external hemorrhoids by rubber banding	34	17	$300.00	$268.91
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$650.00	$177.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$150.00	$107.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$210.00	$161.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$140.00	$123.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	137	$90.00	$86.22
45300 Diagnostic examination of rectum and large bowel using an endoscope	93	70	$150.00	$122.81
46221 Removal of external hemorrhoids by rubber banding	83	28	$300.00	$273.29
46600 Diagnostic examination of the anus using an endoscope	76	65	$110.00	$106.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	54	$900.00	$205.38
99234 Hospital observation or inpatient care low severity, 40 minutes per day	56	54	$154.02	$95.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$150.00	$81.51
45380 Biopsy of large bowel using an endoscope	44	43	$688.07	$93.15
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$650.00	$179.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$210.00	$161.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$140.00	$123.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$150.00	$108.76
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	15	14	$600.00	$246.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	130	$90.00	$87.65
45300 Diagnostic examination of rectum and large bowel using an endoscope	86	68	$150.00	$120.67
46600 Diagnostic examination of the anus using an endoscope	80	59	$110.00	$110.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	69	66	$900.00	$236.88
46221 Removal of external hemorrhoids by rubber banding	56	19	$300.00	$271.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$150.00	$82.34
99234 Hospital observation or inpatient care low severity, 40 minutes per day	53	50	$125.00	$121.00
45380 Biopsy of large bowel using an endoscope	39	38	$725.00	$47.95
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$650.00	$176.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$210.00	$147.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$140.00	$125.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$150.00	$110.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	167	$90.00	$88.93
46600 Diagnostic examination of the anus using an endoscope	110	94	$110.00	$109.54
45300 Diagnostic examination of rectum and large bowel using an endoscope	109	95	$150.00	$127.43
46221 Removal of external hemorrhoids by rubber banding	87	33	$300.00	$286.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	81	79	$900.00	$240.24
45380 Biopsy of large bowel using an endoscope	74	72	$725.00	$60.73
99234 Hospital observation or inpatient care low severity, 40 minutes per day	51	46	$125.00	$122.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$150.00	$82.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$210.00	$166.41
46930 Destruction of internal anal hemorrhoids	26	15	$400.00	$190.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$104.66
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$650.00	$165.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$140.00	$127.98
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$90.00	$67.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	187	$90.00	$72.72
46600 Diagnostic examination of the anus using an endoscope	139	125	$110.00	$98.93
45300 Diagnostic examination of rectum and large bowel using an endoscope	109	90	$150.00	$120.29
46221 Removal of external hemorrhoids by rubber banding	79	26	$300.00	$270.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	67	65	$900.00	$249.38
45380 Biopsy of large bowel using an endoscope	66	65	$725.00	$41.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$210.00	$162.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$150.00	$105.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$150.00	$73.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$140.00	$107.21
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$650.00	$185.82
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$90.00	$51.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	220	$90.00	$71.14
46600 Diagnostic examination of the anus using an endoscope	178	151	$110.00	$90.25
45300 Diagnostic examination of rectum and large bowel using an endoscope	135	117	$150.00	$113.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	110	106	$900.00	$252.22
45380 Biopsy of large bowel using an endoscope	98	95	$718.37	$38.97
46221 Removal of external hemorrhoids by rubber banding	93	38	$300.00	$264.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$210.00	$157.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$150.00	$102.56
45378 Diagnostic exam of large bowel using a flexible endoscope	34	32	$650.00	$183.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$150.00	$75.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$140.00	$105.65
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$90.00	$48.15
46260 Removal of multiple hemorrhoid groups	11	11	$850.00	$400.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	187	$90.00	$68.77
45300 Diagnostic examination of rectum and large bowel using an endoscope	209	181	$150.00	$114.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	112	112	$900.00	$247.07
46221 Removal of external hemorrhoids by rubber banding	105	37	$300.00	$248.88
45380 Biopsy of large bowel using an endoscope	85	85	$449.71	$26.32
99213 Established patient office or other outpatient visit, typically 15 minutes	70	70	$90.00	$49.30
46600 Diagnostic examination of the anus using an endoscope	66	61	$110.00	$84.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$210.00	$156.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$150.00	$101.60
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$650.00	$177.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$140.00	$76.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$140.00	$103.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	158	$90.32	$66.87
45300 Diagnostic examination of rectum and large bowel using an endoscope	175	152	$150.00	$110.67
46221 Removal of external hemorrhoids by rubber banding	155	57	$300.00	$247.33
46600 Diagnostic examination of the anus using an endoscope	116	104	$110.00	$80.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	84	83	$900.00	$244.45
45380 Biopsy of large bowel using an endoscope	73	72	$480.82	$32.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$210.00	$152.77
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$650.00	$177.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$140.00	$99.36
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	17	17	$647.06	$264.40
46260 Removal of multiple hemorrhoid groups	12	12	$850.00	$432.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$100.05

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-04263

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0384221 (OH)

Commercial Insurance / Payer ID United Healthcare

1720085 (OH)

Commercial Insurance / Payer ID Anthem Provider

000000009386 (OH)

Commercial Insurance / Payer ID Cigna Provider

310983038 (OH)

Commercial Insurance / Payer ID Aetna Provider

310983038 (OH)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Mark Thomas , MD

Surgery

NPI 1194793778

Doctor of Medicine (M.D.)

Dr. Robin Estes , MD

Internal Medicine - Nephrology

NPI 1326082736

Doctor of Medicine (M.D.)

Dr. Richard Glaser , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1356347934

Doctor of Medicine (M.D.)

Erin Sisson , RN, RD, LD

Dietitian, Registered

NPI 1407294135

Registered Nurse, Registered Dietitian, Licensed Dietitian

Dr. Shahrokh Javaheri , MD

Family Medicine - Sleep Medicine

NPI 1407829757

Doctor of Medicine (M.D.)

Dr. Danny Fischer , MD

Internal Medicine - Nephrology

NPI 1437190881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2015

Registered at 10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 452425223 (Tel: 5137939835)

📍

Updated Business Mailing Address January 07, 2015

Registered at 10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 452425223 (Tel: 5137939835)

👤

Provider Name / Credentials Updated January 07, 2015

Recorded as MAHENDRA MATTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Surgery (License #35-04263 in OH)

🟢

Initial NPI Registration & Enumeration March 17, 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: 1518936814

Entity Type:

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

Enumeration Date: March 17, 2006

Last Update: January 07, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10496 Montgomery Rd, Suite 204

Cincinnati, OH 452425223

Phone: 5137939835

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.