Physician

Matthew Edward Certain, M.D.

According to 2025 Medicare claims, Matthew Certain, M.D. (NPI: 1760669865) practices cardiology in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is COOPERATIVE HEALTHCARE SERVICES INC (NPI: 1417979402; TIN: 010594994) and primary practice location at 31520-4785.

Certain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,572 traditional Medicare patients, billed 4,460 HCPCS/CPT codes, and received $261,483 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 9,139 prescription claims across 1,273 beneficiaries totaling $1,602,555 in drug costs, led by Eliquis (Apixaban). DME data shows 46 claims. Open Payments data shows 55 records totaling $938. 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 moved sharply higher in recent years, from $72,339 to $1,602,555. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,440 and ending at $3,994.

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$136K$272K2015 Medicare payment: $223,708 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $213,648 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $264,075 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $243,462 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $262,429 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $272,173 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $248,579 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $239,052 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $269,049 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $261,483 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159933,182$223,708
20161,0053,280$213,648
20171,1483,805$264,075
20181,0593,662$243,462
20191,1293,874$262,429
20201,2004,320$272,173
20211,1924,012$248,579
20221,3724,159$239,052
20231,5094,548$269,049
20241,5724,460$261,483

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$801K$1.6M2015 Drug cost: $72,339 (USD; Tot_Drug_Cst)2016 Drug cost: $152,474 (USD; Tot_Drug_Cst)2017 Drug cost: $232,774 (USD; Tot_Drug_Cst)2018 Drug cost: $346,133 (USD; Tot_Drug_Cst)2019 Drug cost: $476,655 (USD; Tot_Drug_Cst)2020 Drug cost: $712,758 (USD; Tot_Drug_Cst)2021 Drug cost: $942,454 (USD; Tot_Drug_Cst)2022 Drug cost: $1,246,776 (USD; Tot_Drug_Cst)2023 Drug cost: $1,565,314 (USD; Tot_Drug_Cst)2024 Drug cost: $1,602,555 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151891,218$72,339
20162942,690$152,474
20174153,695$232,774
20184584,353$346,133
20195885,247$476,655
20207306,560$712,758
20217966,856$942,454
20228587,355$1,246,776
20239948,369$1,565,314
20241,2739,139$1,602,555

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$2.8K$5.6K2015 Medicare payment: $229 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,795 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $190 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,274 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,336 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,628 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,528 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $4,347 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,716 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,205 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$229
2016N/R32$1,795
2017N/R12$190
2018N/R42$1,274
2019N/R119$3,336
2020N/R100$5,628
2021N/R83$4,528
2022N/R73$4,347
2023N/R35$1,716
2024N/R46$2,205

* / # = 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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function483491$90
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more670872$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more403454$60
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report484561$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only142155$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban72240,226$774,241
XareltoRivaroxaban20512,413$230,412
EntrestoSacubitril/Valsartan18810,322$201,897
JardianceEmpagliflozin795,390$106,713
OzempicSemaglutide231,018$27,196

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 rateYN/R23$1,634
E1392Portable oxygen concentrator, rentalYN/R12$391
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R11$181

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.55$938E.R. Squibb & Sons, L.L.C.
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 Edward Certain, M.D.?

Tedicare shows public-source Medicare data for Matthew Edward Certain, M.D. (NPI 1760669865), 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 Edward Certain, M.D. have ACO affiliation data?

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

What billing organization is linked to Matthew Edward Certain, M.D.?

Matthew Edward Certain, M.D. is linked to COOPERATIVE HEALTHCARE SERVICES INC (billing NPI 1417979402) in the available physician profile data.

Does Matthew Edward Certain, M.D. have Open Payments data?

Matthew Edward Certain, M.D. has 55 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.