Active NPI 1912940487 Individual Practitioner Male Practitioner

Dr. Kenneth B Mathis , MD

Orthopaedic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mathis, MD is a certified Orthopaedic Surgery practicing in Houston, TX. With approximately 41 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1985, Dr. Mathis delivers high-quality medical care to the local community at 6400 FANNIN ST STE 1700.

Dr. Mathis is affiliated with Ut Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of knee, 3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6400 Fannin St Ste 1700

Houston, TX 770301526

Telephone 7134865555

Fax 7134867533

Associated Practice Facility / Clinic

🏢 Foundation For Orthopedic, Athletic & Reconstructive Research Facility NPI 1518025527

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

214 Specialists

Practicing in Houston, TX (1627 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathis (41 Years) 41 Yrs

Houston Specialty Average (24.1 Years) 24.1 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
J1010 Injection, methylprednisolone acetate, 1 mg	502	13	$0.33	$0.13
73562 X-ray of knee, 3 views	275	200	$133.51	$40.62
99213 Established patient office or other outpatient visit, typically 15 minutes	108	102	$223.00	$91.46
73502 X-ray of hip, 2-3 views	107	95	$126.00	$47.31
27447 Replacement of knee joint, both sides of knee	84	81	$7611.04	$1308.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	61	$317.00	$128.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$379.00	$169.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$240.00	$110.69
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$9224.00	$1329.11
20610 Aspiration and/or injection of fluid from large joint	26	24	$331.06	$70.17
27446 Repair of knee joint	15	14	$5556.00	$1187.06
73522 X-ray of both hips, 3-4 views	13	13	$148.00	$53.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	202	148	$134.00	$42.01
27447 Replacement of knee joint, both sides of knee	97	94	$7566.00	$1328.90
99213 Established patient office or other outpatient visit, typically 15 minutes	91	87	$223.00	$92.79
73502 X-ray of hip, 2-3 views	74	70	$126.00	$47.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	70	$317.00	$128.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$379.00	$171.30
27130 Replacement of thigh bone and hip joint with prosthesis	50	49	$9224.00	$1327.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$240.00	$113.42
20610 Aspiration and/or injection of fluid from large joint	34	32	$345.22	$73.90
J1030 Injection, methylprednisolone acetate, 40 mg	25	21	$19.84	$7.65
27486 Revision of component of total knee joint prosthesis	12	12	$7339.58	$1098.43
27446 Repair of knee joint	11	11	$5556.00	$1198.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	137	$223.00	$93.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$240.00	$115.04
27447 Replacement of knee joint, both sides of knee	96	93	$7566.00	$1310.27
73562 X-ray of knee, 3 views	55	41	$132.78	$42.88
27130 Replacement of thigh bone and hip joint with prosthesis	48	47	$9224.00	$1314.90
20610 Aspiration and/or injection of fluid from large joint	36	33	$330.39	$70.01
J1030 Injection, methylprednisolone acetate, 40 mg	36	23	$16.00	$6.14
73502 X-ray of hip, 2-3 views	23	23	$126.00	$49.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$317.00	$131.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$379.00	$172.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	299	210	$133.55	$42.24
99213 Established patient office or other outpatient visit, typically 15 minutes	162	151	$223.00	$94.15
73502 X-ray of hip, 2-3 views	149	126	$126.00	$47.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$240.00	$115.26
27447 Replacement of knee joint, both sides of knee	81	75	$7566.00	$1335.30
27130 Replacement of thigh bone and hip joint with prosthesis	53	52	$9224.00	$1310.18
J1030 Injection, methylprednisolone acetate, 40 mg	45	29	$16.00	$5.69
20610 Aspiration and/or injection of fluid from large joint	37	33	$355.30	$74.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$317.00	$134.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$379.00	$174.09
73521 X-ray of both hips, 2 views	20	20	$121.00	$40.87
27446 Repair of knee joint	11	11	$5556.00	$1208.19
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	11	11	$9442.55	$1809.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	338	237	$133.87	$40.02
99213 Established patient office or other outpatient visit, typically 15 minutes	165	156	$154.38	$77.06
73502 X-ray of hip, 2-3 views	129	113	$126.00	$46.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$240.00	$110.35
27447 Replacement of knee joint, both sides of knee	111	101	$7566.00	$1423.72
27130 Replacement of thigh bone and hip joint with prosthesis	61	59	$9224.00	$1413.97
J1030 Injection, methylprednisolone acetate, 40 mg	47	21	$16.00	$6.06
20610 Aspiration and/or injection of fluid from large joint	25	23	$363.08	$69.71
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	17	16	$9032.00	$1684.89
27486 Revision of component of total knee joint prosthesis	16	14	$7046.00	$1296.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$105.00	$46.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$230.00	$112.07
73521 X-ray of both hips, 2 views	11	11	$121.00	$41.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	389	257	$134.00	$37.45
99213 Established patient office or other outpatient visit, typically 15 minutes	170	157	$152.74	$74.68
73502 X-ray of hip, 2-3 views	163	132	$125.48	$43.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$240.00	$109.79
27447 Replacement of knee joint, both sides of knee	131	120	$7681.51	$1377.56
27130 Replacement of thigh bone and hip joint with prosthesis	67	65	$9224.00	$1398.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$230.00	$108.06
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	16	15	$9032.00	$1655.66
20610 Aspiration and/or injection of fluid from large joint	14	14	$380.07	$68.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	372	255	$134.00	$35.79
99213 Established patient office or other outpatient visit, typically 15 minutes	156	147	$147.41	$72.99
73502 X-ray of hip, 2-3 views	119	99	$126.00	$40.97
27447 Replacement of knee joint, both sides of knee	107	102	$7566.00	$1387.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$224.16	$109.20
27130 Replacement of thigh bone and hip joint with prosthesis	62	59	$9224.00	$1365.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$89.62	$44.65
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	18	18	$8910.67	$1737.94
73522 X-ray of both hips, 3-4 views	17	17	$148.00	$49.52
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$151.93	$76.48
20610 Aspiration and/or injection of fluid from large joint	12	12	$227.50	$66.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	367	253	$131.08	$35.61
99213 Established patient office or other outpatient visit, typically 15 minutes	146	136	$146.00	$73.55
73502 X-ray of hip, 2-3 views	140	119	$126.00	$41.83
27447 Replacement of knee joint, both sides of knee	130	122	$7566.00	$1381.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$217.00	$107.43
27130 Replacement of thigh bone and hip joint with prosthesis	50	49	$9224.00	$1371.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$88.00	$44.05
73522 X-ray of both hips, 3-4 views	20	20	$148.00	$49.23
20610 Aspiration and/or injection of fluid from large joint	15	14	$199.00	$63.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$214.00	$108.60
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$149.00	$75.46
27134 Revision of thigh bone and hip joint prosthesis	12	11	$11895.00	$1868.42
27446 Repair of knee joint	11	11	$5556.00	$1190.06

Medical Specialties & State Licenses

CMS Verified: 2022-07-25

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H0610

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License TX H0610

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

8S9717 (TX)

Hospital & Practice Group Affiliations

Ut Physicians

17500 W Grand Pkwy S, Sugar Land, TX 774792562

Phone: 2817255000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Christopher Hawks , PA-C

Physician Assistant - Surgical

NPI 1497028831

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 25, 2022

Registered at 6400 FANNIN ST STE 1700, HOUSTON, TX 770301526 (Tel: 7134865555)

📍

Updated Business Mailing Address July 25, 2022

Registered at 6400 FANNIN ST STE 1700, HOUSTON, TX 770301526 (Tel: 7134865555)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Orthopaedic Surgery (License #H0610 in TX)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 6550 FANNIN ST, #2500, HOUSTON, TX 770302717 (Tel: 7134413741)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 4476, HOUSTON, TX 772104476 (Tel: 7134413741)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH MATHIS, M.D.

🎓

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

Orthopaedic Surgery (License #H0610 in TX)

🟢

Initial NPI Registration & Enumeration June 13, 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: 1912940487

Entity Type:

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

Enumeration Date: June 13, 2006

Last Update: July 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6400 Fannin St Ste 1700

Houston, TX 770301526

Phone: 7134865555

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.