Physician

Joanne M Matthews, MD

According to 2025 Medicare claims, Joanne Matthews, MD (NPI: 1649217142) practices gastroenterology in the Greenville, NC market, with the plurality of this provider's patient population coming from Pitt, NC. This provider's primary affiliated billing organization is PHYSICIANS EAST, P.A. (NPI: 1598761967; TIN: 561968491) and primary practice location at 27834-5704. Matthews is affiliated with the Aledade A4548 NC Legacy MSSP Enhanced (ACO ID: A4548), participating under the MSSP model.

Matthews' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 597 traditional Medicare patients, billed 19,860 HCPCS/CPT codes, and received $318,797 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,614 prescription claims across 819 beneficiaries totaling $860,433 in drug costs, led by Stelara (Ustekinumab). 2022 DME data shows 165 claims. Open Payments data shows 10 records totaling $1,149. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $636,482 to $860,433. 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	669	10,456	$210,205
2016	655	9,296	$193,557
2017	689	8,775	$196,795
2018	724	8,522	$223,260
2019	778	8,877	$226,784
2020	682	8,696	$196,454
2021	785	9,765	$217,534
2022	708	8,071	$211,797
2023	523	9,823	$169,123
2024	597	19,860	$318,797

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	418	1,685	$636,482
2016	450	1,720	$380,751
2017	475	1,704	$320,032
2018	560	1,916	$635,236
2019	607	2,014	$572,430
2020	611	2,062	$604,659
2021	570	1,991	$829,546
2022	730	1,508	$764,989
2023	855	1,384	$688,336
2024	819	1,614	$860,433

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	165	$83,373
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	159	161	$194
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	179	$93
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	126	154	$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	133	146	$12
36415	Insertion of needle into vein for collection of blood sample	103	118	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	12	646	$346,588
Humira(Cf) Pen	Adalimumab	22	616	$162,676
Linzess	Linaclotide	83	3,930	$70,090
Budesonide Ec	Budesonide	16	1,014	$5,347
Colestipol Hcl	Colestipol Hcl	27	1,365	$4,731

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$1,149	Boston Scientific Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Joanne M. Matthews, MD?

Tedicare shows public-source Medicare data for Joanne M. Matthews, MD (NPI 1649217142), 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 Joanne M. Matthews, MD have ACO affiliation data?

Joanne M. Matthews, MD is shown with ACO affiliation data for Aledade A4548 NC Legacy MSSP Enhanced (MSSP, ACO ID A4548).

What billing organization is linked to Joanne M. Matthews, MD?

Joanne M. Matthews, MD is linked to PHYSICIANS EAST, P.A. (billing NPI 1598761967) in the available physician profile data.

Does Joanne M. Matthews, MD have Open Payments data?

Joanne M. Matthews, MD has 10 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.