Providers
All 30 in IA
STANLEY JOHN MATHEW, M.D.
NPI 1003053653, individual, Cedar Rapids, IA, Physical Medicine & Rehabilitation
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 564 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 9105, $692K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 26.7 | 38.4 | 25.6 | 34.9 | 550 | 2 | 99213 99214 99222 99232 99233 99308 99309 | $35K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 19.7 | 42.2 | 28.2 | 38.0 | 420 | 2 | 99213 99214 99232 99309 | $39K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.2 | 32.5 | 21.7 | 29.9 | 460 | 2 | 99204 99213 99214 99232 99308 99309 | $30K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | STANLEY JOHN MATHEW, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 17, 2009, last updated August 8, 2025 |
| Practice location | 855 A AVE NE STE 105, Cedar Rapids, IA 52402-5060, 319-368-5992 |
| Specialties | Internal Medicine (207R00000X, license 036148998 IL) Physical Medicine & Rehabilitation (208100000X, license 249874 NY) Internal Medicine (207R00000X, license MD38604 IA) Physical Medicine & Rehabilitation (208100000X, license V6499 TX) Physical Medicine & Rehabilitation (208100000X, primary, license MD-38604 IA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | $1.2M | 34% | $101 | $40 (top 5% from $128) | 93rd percentile | |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | $547K | 16% | $498 | $255 (top 5% from $568) | 88th percentile | |
| 20553 | Injection of trigger points, 3 or more muscles | $371K | 11% | $52 | $37 (top 5% from $144) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $352K | 10% | $32 | $60 (top 5% from $133) | 18th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $324K | 9% | $57 | $21 (top 5% from $84) | 89th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $184K | 5% | $292 | $96 (top 5% from $249) | 97th percentile | |
| G0463 | Medicaid service code | $106K | 3% | $80 | $73 (top 5% from $142) | 56th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $91K | 3% | $168 | $67 (top 5% from $174) | 94th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 4,718 | 595 | $338K | $190 | $99 | 1.9x | 2.0x (90th percentile 3.3x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2,077 | 371 | $181K | $164 | $110 | 1.5x | 2.6x (90th percentile 4.7x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,063 | 418 | $118K | $129 | $72 | 1.8x | 2.6x (90th percentile 4.3x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,399 | 328 | $95K | $143 | $89 | 1.6x | 2.3x (90th percentile 3.8x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 442 | 378 | $42K | $294 | $120 | 2.5x | 2.7x (90th percentile 4.4x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 538 | 233 | $29K | $143 | $70 | 2.1x | 2.0x (90th percentile 3.4x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 257 | 158 | $12K | $95 | $61 | 1.6x | 2.2x (90th percentile 3.8x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 250 | 104 | $12K | $126 | $58 | 2.2x | 1.8x (90th percentile 2.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
30 providers in IA carry an indicator in the public record, with $15.6M at stake between them. The most common is part of a provider network, on 20 of them, followed by more hours than a day holds on 6. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PATRICK CHAU Sioux City, IA, ranked 4 | $489K |
|
| 1 | RICHARD GODDARD Fort Madison, IA, ranked 378 | $1K |
|
| 3 | NEW CHOICES LLC Bettendorf, IA, ranked 1113 | $623K |
|
| 3 | FREEDOM HOME HEALTH CARE, INC. Ankeny, IA, ranked 1141 | $519K |
|
| 3 | AMY HECHT Sioux City, IA, ranked 1765 | $0 |
|
| 3 | NEWTON VILLAGE, INC. Newton, IA, ranked 1820 | $0 |
|
| 3 | CCRC OF WEST DES MOINES, LLC West Des Moines, IA, ranked 2057 | $0 |
|
| 3 | RIVERVIEW SNF OPERATOR LLC Pleasant Valley, IA, ranked 2569 | $0 |
|
Recent enforcement in IA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJComplaint filedJun 29, 2026
Southern District of Iowa Announces Cases Related to the 2026 National Health Care Fraud Takedown
A civil False Claims Act complaint alleges a plastic surgeon submitted only artificially-inflated list price invoices for skin substitute products to a Medicare contractor, and separately three health systems agreed to pay $4,643,128 after self-disclosing overuse and over-billing of the Impella heart pump device.
DOJIndictedJun 24, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with More Than $6.5 Billion in Alleged Fraud
A home care company and its owner were indicted for submitting claims to the Veterans Community Care Program for home health care services not actually provided, including services claimed after a veteran client died, and a plastic surgery practice and its owner were sued for giving Medicare false invoices for skin substitute products used to set reimbursement.
DOJPleaded guiltyNov 13, 2025
Iowa Attorney Pleads Guilty to Making a False Statement to Iowa Medicaid
An attorney submitted documents to Iowa Medicaid to qualify an elderly client for nursing home benefits, including a statement that a 1961 Rolls Royce had a fair market value of $194,000 when he knew it did not.
DOJCivil settlementJan 16, 2025
Two Iowa Healthcare Practitioners Settle Allegations for False Submission of Claims to Federal Healthcare Programs in Telemedicine Scheme
Two practitioners billed Medicare for office visits and medical discussions they did not provide and signed orders for medically unnecessary durable medical equipment such as orthotic braces based on recorded cold calls to beneficiaries they never contacted.
DOJSentencedJul 3, 2024
Illegal Alien and Two Others Sentenced to Federal Prison in Organ Transplant Scheme
Herrera Rosales assumed another person's identity, provided to him by Herrera and Guerra, to apply for and obtain more than $500,000 in Medicare, Minnesota Medicaid, and Social Security benefits, including a federally funded kidney transplant.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.