MATTHEW BROOKE LOVATO, M.D.
NPI 1568424182, individual, Gadsden, AL, Pediatrics
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MATTHEW BROOKE LOVATO, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 6, 2006, last updated July 8, 2007 |
| Practice location | 829 RIVERBEND DR, Gadsden, AL 35901-2556, 256-546-4611 |
| Specialties | Pediatrics (208000000X, primary, license 068280 MI) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.2M | 42% | $73 | $44 (top 5% from $110) | 84th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $537K | 19% | $105 | $60 (top 5% from $133) | 88th percentile | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $149K | 5% | $11 | $5.69 (top 5% from $25) | 86th percentile | |
| 99392 | Medicaid service code | $139K | 5% | $68 | $78 (top 5% from $124) | 36th percentile | |
| 99393 | Medicaid service code | $125K | 4% | $67 | $78 (top 5% from $121) | 37th percentile | |
| 99391 | Medicaid service code | $97K | 3% | $69 | $76 (top 5% from $126) | 39th percentile | |
| 99394 | Medicaid service code | $81K | 3% | $67 | $83 (top 5% from $128) | 36th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $64K | 2% | $104 | $67 (top 5% from $121) | 90th percentile |
In this area
2 providers in Etowah County, AL carry an indicator in the public record, with $55K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ALTOONA HEALTH & REHAB, INC. Altoona, AL, ranked 1910 | $0 |
|
| 4 | FARRUKH JAMIL Gadsden, AL, ranked 9627 | $55K |
|
Recent enforcement in AL
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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.