Medicare Enrolled

Dr. Jose Mathew, DO, MPH

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lawrenceville, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
455 PHILIP BLVD STE 140, Lawrenceville, GA 30046
7709623642
Registered in NPPES since 2008
NPI: 1861654659 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Mathew from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Mathew

Dr. Jose Mathew is a pain medicine physician in Lawrenceville, GA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Mathew performed 1,867 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Mathew received a total of $43,531 from 43 pharmaceutical and/or device companies across 542 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Mathew is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years of NPI registration ▲ Top 41% volume in GA $43,531 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,867
Medicare services
Top 41% in GA for pain medicine (physical medicine & rehabilitation) physician
Not available
Unique patients (not deduplicated)
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
859 $60 $280
Drug test with direct observation
A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process.
172 $12 $45
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
147 $90 $323
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
99 $42 $185
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
99 $111 $350
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
70 $32 $134
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
70 $148 $500
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
59 $114 $497
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
59 $192 $600
Sacral spine nerve root injection with imaging guidance
An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement.
47 $102 $928
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
24 $35 $183
Fluoroscopic guidance for needle placement
Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure.
24 $20 $243
Additional sacral spine nerve root injection with imaging
An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging.
20 $39 $402
Injection into lower spine canal with imaging guidance
A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement.
19 $74 $695
Spine facet joint injection with imaging guidance, single level
An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement.
19 $89 $556
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
18 $68 $518
Facet joint injection, second level, with imaging guidance
An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated.
17 $53 $305
Spinal injection with imaging guidance
A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location.
16 $80 $710
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
15 $41 $337
Facet joint nerve destruction, additional joint
This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint.
14 $63 $600
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$43,531
Total received (2018-2024)
Avg $6,219/year across 7 years
Top 6% in GA for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
542
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,746
2023
$4,189
2022
$6,774
2021
$6,600
2020
$1,906
2019
$2,870
2018
$18,445

Payments by company (2024)

Medtronic, Inc.
$1,266
Vertos Medical, Inc.
$533
Stryker Corporation
$277
Boston Scientific Corporation
$252
Curonix LLC
$153
Spinal Simplicity, LLC
$115
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$66
Collegium Pharmaceutical, Inc.
$41
SCILEX PHARMACEUTICALS INC.
$22
Nalu Medical, Inc.
$21
Top 3 companies account for 75.6% of 2024 payments
All-time payments by company (2018-2024) ›
Daiichi Sankyo Inc.
$14,240
SCILEX PHARMACEUTICALS INC.
$4,755
Scilex Pharmaceuticals Inc.
$4,581
Medtronic, Inc.
$4,493
Nuvectra Corporation
$2,591
Medtronic USA, Inc.
$2,395
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,946
Relievant Medsystems, Inc.
$1,030
Abbott Laboratories
$774
HydroCision, Inc.
$750
Boston Scientific Corporation
$714
Vertiflex, Inc.
$686
Collegium Pharmaceutical, Inc.
$616
Nalu Medical, Inc.
$596
Vertos Medical, Inc.
$533
PAINTEQ LLC
$447
BOSTON SCIENTIFIC CORPORATION
$335
Curonix LLC
$318
Stryker Corporation
$277
Forte Bio-Pharma LLC
$194
Horizon Therapeutics plc
$190
FORTE BIO-PHARMA LLC
$166
Spinal Simplicity, LLC
$115
US WorldMeds, LLC
$104
Arteriocyte Medical Systems, Inc.
$97
PFIZER INC.
$79
Sentynl Therapeutics, Inc.
$73
Shionogi Inc
$70
Bioventus LLC
$51
Egalet US Inc
$38
DePuy Synthes Sales Inc.
$37
Novartis Pharmaceuticals Corporation
$31
BioDelivery Sciences International, Inc.
$27
ARBOR PHARMACEUTICALS, INC.
$27
Purdue Pharma L.P.
$23
USWM, LLC
$23
Radius Health, Inc.
$22
Stimwave Technologies Incorporated
$21
Kaleo, Inc.
$18
Horizon Pharma plc
$18
Almatica Pharma LLC
$12
Saluda Medical Americas, Inc.
$11
AstraZeneca Pharmaceuticals LP
$11
Top 3 companies account for 54.2% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · Algovita · Axium INS DRG IPG · BUNAVAIL 2.1 mg 30-count box · Belbuca · CLINICAL TRIAL PRODUCT · DUEXIS · Durolane · Evoke SCS · Evzio · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GRALISE · HA MINUTEMAN G3-R · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LYRICA · Levorphanol Tartrate · Lucemyra · Lucemyra/Lofexidine · MILD DEVICE KIT · MOVANTIK · MYSTIM · Magellan · Morphabond ER · Movantik · N'VISION · NALOCET · NO_PRODUCT · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OPTABLATE · ORTHOVISC · PAINTEQ · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PROLATE · Proclaim Family of SCS IPGs · RAYOS · RELISTOR · RELISTOR ORAL · RESTORE · RoxyBond · SPECTRA WAVEWRITER · SPRIX · SUPERION · SYMJEPI · SYMPROIC · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Stimrouter Implantable Kit · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TenJet · Tymlos · VANTA ADAPTIVESTIM · VECTRIS · XTAMPZA · XTAMPZAER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a pain medicine physician in Lawrenceville?
Compare pain medicine physicians in the Lawrenceville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pain medicine physicians in nearby ZIP areas
21
County median income
$84,823
Nearest hospital to ZIP centroid (approximate)
SUMMITRIDGE CENTER- PSYCHIATRY & ADDICTIVE MED
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Mathew is a clinical cardiology specialist, with moderate Medicare volume, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Mathew experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Mathew performed 859 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Mathew receive payments from pharmaceutical companies?
Yes. Dr. Mathew received a total of $43,531 from 43 companies across 542 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Mathew's costs compare to other pain medicine physicians in Lawrenceville?
Dr. Mathew's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Mathew) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →