Physician

Matthew Banks, DO

According to 2025 Medicare claims, Matthew Banks, DO (NPI: 1659772069) practices neurology in the Fayetteville, NC market, with the plurality of this provider's patient population coming from Cumberland, NC. This provider's primary affiliated billing organization is RECON NEUROLOGY & PSYCHIATRY (NPI: 1427769140; TIN: 883768839) and primary practice location at 28304-4417. Banks is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Banks' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 726 traditional Medicare patients, billed 22,216 HCPCS/CPT codes, and received $654,267 in Medicare payments. The top billing code was 95911 (Nerve conduction, 9-10 studies). Part D data shows 987 prescription claims across 216 beneficiaries totaling $1,080,607 in drug costs, led by Gammaplex (Immun Glob G(Igg)/Gly/Iga 0-50). Open Payments data shows 257 records totaling $5,592. 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 sharply higher in recent years, from $344 to $1,080,607. 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$327K$654K2019 Medicare payment: $21,411 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $76,353 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $81,430 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $71,198 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $129,628 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $654,267 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019143237$21,411
20203741,134$76,353
20213771,073$81,430
2022372976$71,198
20233961,978$129,628
202472622,216$654,267

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$540K$1.1M2017 Drug cost: $344 (USD; Tot_Drug_Cst)2019 Drug cost: $60,981 (USD; Tot_Drug_Cst)2020 Drug cost: $254,303 (USD; Tot_Drug_Cst)2021 Drug cost: $546,557 (USD; Tot_Drug_Cst)2022 Drug cost: $421,465 (USD; Tot_Drug_Cst)2023 Drug cost: $589,611 (USD; Tot_Drug_Cst)2024 Drug cost: $1,080,607 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R21$344
2018N/RN/RN/R
201971154$60,981
2020156618$254,303
2021153549$546,557
2022196755$421,465
2023216981$589,611
2024216987$1,080,607

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
95911Nerve conduction, 9-10 studies7273$152
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more349349$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more496915$88
95886Needle measurement of electrical activity in arm or leg muscles, complete study166313$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more160243$64

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GammaplexImmun Glob G(Igg)/Gly/Iga 0-5025800$470,388
TysabriNatalizumab11308$94,358
RytaryCarbidopa/Levodopa12420$7,514
PrimidonePrimidone703,090$1,721
OxcarbazepineOxcarbazepine20787$1,492

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.257$5,592ABBVIE INC.
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 Matthew Banks, DO?

Tedicare shows public-source Medicare data for Matthew Banks, DO (NPI 1659772069), 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 Matthew Banks, DO have ACO affiliation data?

Matthew Banks, DO is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Matthew Banks, DO?

Matthew Banks, DO is linked to RECON NEUROLOGY & PSYCHIATRY (billing NPI 1427769140) in the available physician profile data.

Does Matthew Banks, DO have Open Payments data?

Matthew Banks, DO has 257 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.