Physician

Megan E Maticek, MD

According to 2025 Medicare claims, Megan Maticek, MD (NPI: 1104231190) practices ophthalmology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Washington, WI. This provider's primary affiliated billing organization is FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (NPI: 1568787448; TIN: 272042610) and primary practice location at 53051-4002. Maticek is affiliated with the Froedtert & The Medical College of Wisconsin ACO, LLC (ACO ID: A4825), participating under the MSSP model.

Maticek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 473 traditional Medicare patients, billed 7,263 HCPCS/CPT codes, and received $622,837 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 1,720 prescription claims across 512 beneficiaries totaling $155,813 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 11 claims. Open Payments data shows 2 records totaling $7. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $83,537 to $622,837. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,059 to $155,813. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$345K$691K2018 Medicare payment: $83,537 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $280,967 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $399,382 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $690,684 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $681,992 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $682,955 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $622,837 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018168633$83,537
20193471,761$280,967
20204312,288$399,382
20215113,527$690,684
20224804,011$681,992
20235025,124$682,955
20244737,263$622,837

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$97K$195K2015 Drug cost: $2,059 (USD; Tot_Drug_Cst)2016 Drug cost: $12,452 (USD; Tot_Drug_Cst)2017 Drug cost: $10,977 (USD; Tot_Drug_Cst)2018 Drug cost: $15,621 (USD; Tot_Drug_Cst)2019 Drug cost: $59,077 (USD; Tot_Drug_Cst)2020 Drug cost: $95,801 (USD; Tot_Drug_Cst)2021 Drug cost: $160,905 (USD; Tot_Drug_Cst)2022 Drug cost: $183,347 (USD; Tot_Drug_Cst)2023 Drug cost: $194,700 (USD; Tot_Drug_Cst)2024 Drug cost: $155,813 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151626$2,059
201695319$12,452
201762188$10,977
2018151469$15,621
2019227671$59,077
2020253764$95,801
20213911,268$160,905
20224591,458$183,347
20234611,607$194,700
20245121,720$155,813

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$377$7542021 Medicare payment: $754 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $414 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211515$754
20221111$414
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
67028Injection of drug into eye101490$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more325480$87
92083Exam of visual field with extended testing98109$43
92134Imaging of retina242592$27
92133Imaging of optic nerve163164$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine502,820$54,651
CyclosporineCyclosporine241,275$15,964
Prednisolone AcetatePrednisolone Acetate32211,166$15,096
LumiganBimatoprost311,773$15,011
XiidraLifitegrast13570$12,635

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$7NEW WORLD MEDICAL,INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Megan E. Maticek, MD?

Tedicare shows public-source Medicare data for Megan E. Maticek, MD (NPI 1104231190), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Megan E. Maticek, MD have ACO affiliation data?

Megan E. Maticek, MD is shown with ACO affiliation data for Froedtert & The Medical College of Wisconsin ACO, LLC (MSSP, ACO ID A4825).

What billing organization is linked to Megan E. Maticek, MD?

Megan E. Maticek, MD is linked to FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (billing NPI 1568787448) in the available physician profile data.

Does Megan E. Maticek, MD have Open Payments data?

Megan E. Maticek, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.