DENNIS MATTHEWS, MD
NPI 1356434708, individual, Aurora, CO, Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
- Hours beyond a day in 16 months, but with up to 1968 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 92508 ($608 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 42.1 | 135.4 | 90.3 | 116.6 | 1876 | 1 | 92507 92508 92523 92526 92609 96152 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $406K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 42.3 | 141.3 | 94.2 | 126.3 | 1789 | 1 | 92507 92508 92523 92526 92609 96152 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $374K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 42.3 | 138.5 | 92.3 | 124.4 | 1912 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $406K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 44.0 | 137.2 | 91.5 | 125.1 | 1883 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $388K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 44.9 | 141.4 | 94.2 | 121.4 | 1968 | 1 | 92507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97750 97760 97802 97803 99214 99215 | $411K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 40.7 | 143.4 | 95.6 | 130.8 | 1847 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $401K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 36.9 | 123.7 | 82.5 | 114.4 | 1703 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $368K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 74.3 | 118.4 | 79.0 | 105.6 | 1852 | 1 | 92507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97750 97760 97802 97803 99214 99215 | $361K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 37.2 | 125.0 | 83.3 | 123.0 | 1674 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214 | $362K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 44.1 | 149.0 | 99.3 | 132.6 | 1894 | 1 | 92507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 | $441K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 40.3 | 131.5 | 87.7 | 118.5 | 1863 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 99215 | $388K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 31.1 | 101.7 | 67.8 | 99.0 | 1632 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214 | $315K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 35.3 | 98.5 | 65.7 | 87.4 | 1526 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97803 99214 | $309K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 26.2 | 79.7 | 53.1 | 73.5 | 1117 | 1 | 92507 92508 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97166 97530 97535 97760 97802 97803 | $220K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 17.4 | 54.2 | 36.1 | 53.0 | 759 | 1 | 92507 92508 92609 96132 96133 97110 97112 97140 97161 97162 97530 97760 97803 | $168K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 16.6 | 45.6 | 30.4 | 38.5 | 687 | 1 | 92507 92508 92609 96132 96133 96136 96137 96138 97110 97112 97140 97161 97162 97530 97760 97803 99214 | $127K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DENNIS MATTHEWS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | September 30, 2006, last updated August 13, 2013 |
| Practice location | 13123 E 16TH AVE, Aurora, CO 80045-7106, 720-777-2806 |
| Mailing address | PO BOX 110429, Aurora, CO 80042-0429 |
| Specialties | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, primary, license 26000 CO) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $2.2M | 31% | $608 | $190 (top 5% from $477) | 98th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $689K | 9% | $114 | $76 (top 5% from $314) | 69th percentile | |
| 97530 | Therapy procedure using functional activities | $671K | 9% | $110 | $124 (top 5% from $387) | 45th percentile | |
| 92609 | Therapy service for use of speech-generating device with programming | $508K | 7% | $538 | $181 (top 5% from $466) | 97th percentile | |
| 92508 | Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | $475K | 7% | $316 | $48 (top 5% from $111) | 100th percentile | |
| 96118 | Medicaid service code | $407K | 6% | $1K | $310 (top 5% from $1K) | 95th percentile | |
| V5257 | Medicaid service code | $389K | 5% | $2K | too few months to rank | ||
| 96125 | Test to assess the ability to complete specific functional tasks applicable to environment | $323K | 4% | $2K | too few months to rank |
In this area
10 providers in Adams County, CO carry an indicator in the public record, with $18.9M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTER AT NORTHRIDGE, LLC Westminster, CO, ranked 4430 | $0 |
|
| 4 | SUSAN APKON Aurora, CO, ranked 7479 | $4.4M |
|
| 4 | LINDA CAMPAGNA Westminster, CO, ranked 8182 | $1.1M |
|
| 4 | STACY LABAR Northglenn, CO, ranked 8427 | $4.6M |
|
| 4 | ANTHONY EUSER Brighton, CO, ranked 8446 | $4.2M |
|
| 4 | NICOLE FESTA Thornton, CO, ranked 8663 | $2.3M |
|
| 4 | STEPHEN VOLIN Thornton, CO, ranked 9006 | $944K |
|
| 4 | PAUL LEO Thornton, CO, ranked 9128 | $636K |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.