Physician

Nathan R Mathews, MD

According to 2025 Medicare claims, Nathan Mathews, MD (NPI: 1275928624) practices ophthalmology in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is EYE PHYSICIANS AND SURGEONS SC (NPI: 1508949181; TIN: 391742928) and primary practice location at 53105-2152.

Mathews' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 831 traditional Medicare patients, billed 5,456 HCPCS/CPT codes, and received $344,950 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,982 prescription claims across 537 beneficiaries totaling $108,147 in drug costs, led by Restasis (Cyclosporine). DME data shows 30 claims. Open Payments data shows 7 records totaling $158. 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 risen steadily, from $79,104 to $344,950. Similarly, Part D prescription costs have risen steadily, from $2,221 to $108,147. 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$172K$345K2019 Medicare payment: $79,104 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $160,735 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $247,867 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $273,371 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $263,720 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $344,950 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019454966$79,104
20206592,302$160,735
20217652,699$247,867
20228292,774$273,371
20238602,823$263,720
20248315,456$344,950

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$123K$247K2015 Drug cost: $2,221 (USD; Tot_Drug_Cst)2016 Drug cost: $402 (USD; Tot_Drug_Cst)2017 Drug cost: $1,205 (USD; Tot_Drug_Cst)2018 Drug cost: $6,931 (USD; Tot_Drug_Cst)2019 Drug cost: $30,751 (USD; Tot_Drug_Cst)2020 Drug cost: $147,577 (USD; Tot_Drug_Cst)2021 Drug cost: $153,452 (USD; Tot_Drug_Cst)2022 Drug cost: $246,825 (USD; Tot_Drug_Cst)2023 Drug cost: $141,477 (USD; Tot_Drug_Cst)2024 Drug cost: $108,147 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R11$2,221
2016N/R17$402
20171729$1,205
201877172$6,931
2019153350$30,751
20203531,791$147,577
20214572,157$153,452
20224301,886$246,825
20234821,878$141,477
20245371,982$108,147

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$1.3K$2.5K2022 Medicare payment: $689 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $633 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,517 (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
2021N/RN/RN/R
20221212$689
20231111$633
20243030$2,517

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more201255$80
92014Established patient complete exam of visual system408521$78
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more154198$54
92134Imaging of retina166302$27
92133Imaging of optic nerve123125$22

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine501,980$34,474
LumiganBimatoprost211,160$10,498
LatanoprostLatanoprost68039,244$6,612
Prednisolone AcetatePrednisolone Acetate1544,224$4,556
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol442,000$3,924

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2303Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lensN1515$1,693
V2020Frames, purchasesN1515$824

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.7$158Alcon Vision LLC
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 Nathan R. Mathews, MD?

Tedicare shows public-source Medicare data for Nathan R. Mathews, MD (NPI 1275928624), 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 Nathan R. Mathews, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Nathan R. Mathews, MD?

Nathan R. Mathews, MD is linked to EYE PHYSICIANS AND SURGEONS SC (billing NPI 1508949181) in the available physician profile data.

Does Nathan R. Mathews, MD have Open Payments data?

Nathan R. Mathews, MD has 7 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.