VEENA MATHAD, M.D.
NPI 1720127970, individual, Arvada, CO, Pediatrics
- Listed on the CO Medicaid exclusion list since October 21, 2020.
- Medicaid still paid claims in 2 later months, $18,989 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| CO Medicaid exclusion list state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap) | Exact NPI, name verified | Oct 21, 2020 | still open | 2 | Nov 2020 | Dec 2020 | $19K | $298K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VEENA MATHAD, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 5, 2007, last updated March 17, 2018 |
| Practice location | 12500 W 58TH AVE UNIT 233, Arvada, CO 80002-1104, 720-536-5282 |
| Specialties | Pediatrics (208000000X, primary, license 41871 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $134K | 21% | $70 | $44 (top 5% from $110) | 82nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $119K | 18% | $99 | $60 (top 5% from $133) | 85th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $82K | 13% | $40 | $26 (top 5% from $54) | 77th percentile | |
| 99392 | Medicaid service code | $79K | 12% | $95 | $78 (top 5% from $124) | 75th percentile | |
| 99391 | Medicaid service code | $68K | 11% | $95 | $76 (top 5% from $126) | 77th percentile | |
| S9128 | Speech therapy in the home per diem | $65K | 10% | $676 | $460 (top 5% from $743) | 85th percentile | |
| 99393 | Medicaid service code | $27K | 4% | $92 | $78 (top 5% from $121) | 72nd percentile | |
| 96110 | Medicaid service code | $24K | 4% | $15 | $10 (top 5% from $38) | 76th percentile |
In this area
9 providers in Jefferson County, CO carry an indicator in the public record, with $4.9M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALISON BARTON Littleton, CO, ranked 176 | $58K |
|
| 3 | PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC Lakewood, CO, ranked 1712 | $0 |
|
| 3 | COVENANT LIVING OF COLORADO Westminster, CO, ranked 3889 | $0 |
|
| 3 | ELEVATION HOSPICE OF COLORADO, LLC Arvada, CO, ranked 7074 | $0 |
|
| 4 | ERICA JOHNSON Lakewood, CO, ranked 7311 | $1.7M |
|
| 4 | CHRISTINA MURPHY Arvada, CO, ranked 8174 | $1.2M |
|
| 4 | MANDY VIGIL Lakewood, CO, ranked 8186 | $998K |
|
| 4 | BETHANY FERGUSON Wheat Ridge, CO, ranked 8255 | $283K |
|
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.