Physician

Carol M Mathew, M.D.

According to 2025 Medicare claims, Carol Mathew, M.D. (NPI: 1104265438) practices hematology in the Gainesville, FL market, with the plurality of this provider's patient population coming from Alachua, FL. This provider's primary affiliated billing organization is FLORIDA CLINICAL PRACTICE ASSOCIATION INC (NPI: 1063463768; TIN: 59-1680273) and primary practice location at 32610-3008. Mathew is affiliated with the UF HEALTH ACO GAINESVILLE, LLC (ACO ID: A5468), participating under the MSSP model.

Mathew's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 452 traditional Medicare patients, billed 1,057 HCPCS/CPT codes, and received $64,262 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 364 prescription claims across 91 beneficiaries totaling $103,920 in drug costs, led by Eliquis (Apixaban). No Open Payments records. 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 $1,599 to $64,262. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,826 and ending at $103,920. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	15	15	$1,599
2017	106	111	$14,923
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	140	240	$21,742
2021	396	781	$70,115
2022	387	682	$56,019
2023	354	630	$52,204
2024	452	1,057	$64,262

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	17	79	$1,826
2016	11	19	$119
2017	16	33	$35,006
2018	36	130	$206,090
2019	51	243	$582,006
2020	44	140	$246,697
2021	49	147	$59,487
2022	61	230	$89,228
2023	79	348	$126,462
2024	91	364	$103,920

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	317	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	71	77	$65
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	265	337	$13
36415	Insertion of needle into vein for collection of blood sample	49	60	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	95	3,980	$76,237
Oxycontin	Oxycodone Hcl	11	330	$8,863
Enoxaparin Sodium	Enoxaparin Sodium	15	450	$6,493
Morphine Sulfate Er	Morphine Sulfate	61	1,814	$1,622
Oxycodone Hcl	Oxycodone Hcl	53	1,243	$876

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Carol M. Mathew, M.D.?

Tedicare shows public-source Medicare data for Carol M. Mathew, M.D. (NPI 1104265438), 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 Carol M. Mathew, M.D. have ACO affiliation data?

Carol M. Mathew, M.D. is shown with ACO affiliation data for UF HEALTH ACO GAINESVILLE, LLC (MSSP, ACO ID A5468).

What billing organization is linked to Carol M. Mathew, M.D.?

Carol M. Mathew, M.D. is linked to FLORIDA CLINICAL PRACTICE ASSOCIATION INC (billing NPI 1063463768) in the available physician profile data.

Does Carol M. Mathew, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.