Physician

Roshen Mathew, M.D.

According to 2025 Medicare claims, Roshen Mathew, M.D. (NPI: 1447563812) practices pulmonary disease in the Parkersburg-Vienna, WV market, with the plurality of this provider's patient population coming from Wood, WV. This provider's primary affiliated billing organization is CAMDEN-CLARK PHYSICIAN CORPORATION (NPI: 1710125430; TIN: 264058719) and primary practice location at 26101-0718. Mathew is affiliated with the ACO West Virginia (ACO ID: A3563) and Baptist Health/UAMS Accountable Care Alliance (ACO ID: A3633), participating under the MSSP model.

Mathew's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 573 traditional Medicare patients, billed 1,523 HCPCS/CPT codes, and received $95,200 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 1,874 prescription claims across 473 beneficiaries totaling $1,153,227 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 845 claims. Open Payments data shows 9 records totaling $7,115. 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 up and down with repeated peaks and valleys, starting at $62,354 and ending at $95,200. Concurrently, Part D prescription costs have risen steadily, from $6,923 to $1,153,227. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $28,548 and ending at $56,802.

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$129K$258K2015 Medicare payment: $62,354 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $194,632 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $146,594 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $257,591 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $105,063 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $76,250 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $145,679 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $79,007 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $84,946 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $95,200 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015222736$62,354
20167122,696$194,632
20176192,339$146,594
20189514,059$257,591
20195371,718$105,063
2020379959$76,250
20216371,799$145,679
20224881,215$79,007
20235411,270$84,946
20245731,523$95,200

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$577K$1.2M2015 Drug cost: $6,923 (USD; Tot_Drug_Cst)2016 Drug cost: $58,385 (USD; Tot_Drug_Cst)2017 Drug cost: $128,646 (USD; Tot_Drug_Cst)2018 Drug cost: $265,805 (USD; Tot_Drug_Cst)2019 Drug cost: $322,536 (USD; Tot_Drug_Cst)2020 Drug cost: $77,394 (USD; Tot_Drug_Cst)2021 Drug cost: $276,635 (USD; Tot_Drug_Cst)2022 Drug cost: $350,961 (USD; Tot_Drug_Cst)2023 Drug cost: $793,456 (USD; Tot_Drug_Cst)2024 Drug cost: $1,153,227 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152758$6,923
2016115350$58,385
2017148580$128,646
20182831,217$265,805
20192181,197$322,536
2020102272$77,394
2021177521$276,635
2022171462$350,961
20233961,430$793,456
20244731,874$1,153,227

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$41K$83K2016 Medicare payment: $27,794 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $56,718 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $67,027 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $82,814 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $44,909 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $69,984 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $57,098 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $54,517 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $51,252 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
201641235$27,794
201782667$56,718
2018144916$67,027
2019125938$82,814
202040336$44,909
202150584$69,984
202257611$57,098
2023109736$54,517
2024232845$51,252

* / # = 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 more148212$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more136151$42
94726Test to determine lung volumes using sensors9696$8
94060Test to measure expiratory airflow and volume changes before and after medication administration9696$6
94729Test to examine how well the lungs exchange gases106106$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate20660$270,473
Trelegy ElliptaFluticasone/Umeclidin/Vilanter30411,340$236,371
Prolastin CAlpha-1-Proteinase Inhibitor13364$135,396
Dupixent PenDupilumab16448$59,873
Breo ElliptaFluticasone/Vilanterol1143,990$52,381

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY25173$16,142
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R14$14,295
A7032Cushion for use on nasal mask interface, replacement only, eachN1123$2,856
E0601Continuous positive airway pressure (cpap) deviceY1262$2,470
A7031Face mask interface, replacement for full face mask, eachNN/R20$2,441

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$7,115Noah Medical Corporation
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 Roshen Mathew, M.D.?

Tedicare shows public-source Medicare data for Roshen Mathew, M.D. (NPI 1447563812), 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 Roshen Mathew, M.D. have ACO affiliation data?

Roshen Mathew, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Baptist Health/UAMS Accountable Care Alliance (MSSP, ACO ID A3633).

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

Roshen Mathew, M.D. is linked to CAMDEN-CLARK PHYSICIAN CORPORATION (billing NPI 1710125430) in the available physician profile data.

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

Roshen Mathew, M.D. has 9 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.