Physician

Josiah S Matthews, MD

According to 2025 Medicare claims, Josiah Matthews, MD (NPI: 1497717003) practices interventional pain management (ipm) in the Albany, GA market, with the plurality of this provider's patient population coming from Dougherty, GA. This provider's primary affiliated billing organization is NEXUS PAIN CENTER OF ALBANY LLC (NPI: 1487098174; TIN: 900814957) and primary practice location at 31707-2278. Matthews is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Matthews' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 408 traditional Medicare patients, billed 4,597 HCPCS/CPT codes, and received $281,717 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 10,833 prescription claims across 740 beneficiaries totaling $774,878 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). Open Payments data shows 66 records totaling $3,181. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $445,896 to $774,878. 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$194K$388K2015 Medicare payment: $385,140 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $291,361 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $308,700 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $369,839 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $387,919 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $328,537 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $344,141 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $289,740 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $288,954 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $281,717 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156116,450$385,140
20166025,249$291,361
20176245,146$308,700
20186266,036$369,839
20196626,827$387,919
20205725,719$328,537
20215135,185$344,141
20224674,338$289,740
20234574,483$288,954
20244084,597$281,717

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$413K$826K2015 Drug cost: $445,896 (USD; Tot_Drug_Cst)2016 Drug cost: $425,296 (USD; Tot_Drug_Cst)2017 Drug cost: $368,013 (USD; Tot_Drug_Cst)2018 Drug cost: $441,394 (USD; Tot_Drug_Cst)2019 Drug cost: $471,940 (USD; Tot_Drug_Cst)2020 Drug cost: $484,190 (USD; Tot_Drug_Cst)2021 Drug cost: $496,912 (USD; Tot_Drug_Cst)2022 Drug cost: $402,506 (USD; Tot_Drug_Cst)2023 Drug cost: $825,687 (USD; Tot_Drug_Cst)2024 Drug cost: $774,878 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155535,633$445,896
20165795,316$425,296
20176075,321$368,013
20186225,390$441,394
20197296,155$471,940
20206897,529$484,190
20216727,032$496,912
20226136,499$402,506
202370410,017$825,687
202474010,833$774,878

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more6060$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more282689$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3552,050$59
G2211Visit 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's172301$12
80305Testing for presence of drug, read by direct observation236624$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2,83782,138$69,970
BelsomraSuvorexant1524,740$68,873
UbrelvyUbrogepant571,317$65,077
Nurtec OdtRimegepant Sulfate24666$53,375
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1,55544,850$44,633

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.66$3,181Spinal Simplicity, 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 Josiah S. Matthews, MD?

Tedicare shows public-source Medicare data for Josiah S. Matthews, MD (NPI 1497717003), 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 Josiah S. Matthews, MD have ACO affiliation data?

Josiah S. Matthews, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Josiah S. Matthews, MD?

Josiah S. Matthews, MD is linked to NEXUS PAIN CENTER OF ALBANY LLC (billing NPI 1487098174) in the available physician profile data.

Does Josiah S. Matthews, MD have Open Payments data?

Josiah S. Matthews, MD has 66 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.