Medicare Enrolled

Dr. Mark Matthews, M.D.

Internal Medicine · Toccoa, GA
Practice pattern: Electrophysiology & Cardiac — Practice combining electrophysiology and cardiac services
Low-engagement
163 HOSPITAL DR, Toccoa, GA 30577
7062824200
In practice since 2006 (19 years)
NPI: 1245348390 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. Matthews 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 →
Are you Dr. Matthews? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Matthews

Dr. Mark Matthews is an internal medicine specialist in Toccoa, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Matthews performed 670 Medicare services across 570 unique beneficiaries.

Between the years covered by Open Payments, Dr. Matthews received a total of $3,362 from 41 pharmaceutical and/or device companies across 169 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Matthews 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.

✓ 19 years in practice ▲ 670 Medicare services $3,362 industry payments

Medicare Practice Summary

Medicare Utilization ↗
670
Medicare services
Bottom 49% in GA for internal medicine
570
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~35 Medicare services per year of practice

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
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
172 $11 $85
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.
159 $122 $310
Technetium Tc-99m tetrofosmin diagnostic injection
A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies.
70 $91 $250
Regadenoson injection (Lexiscan) for heart stress test
An injection of regadenoson, a medication used to stress the heart during diagnostic testing.
64 $27 $200
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.
56 $96 $202
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review.
42 $47 $350
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera.
35 $317 $1,400
Continuous ECG monitoring with symptom tracking, up to 30 days
This procedure involves continuous electrocardiogram monitoring for up to 30 days. It includes symptom monitoring to correlate heart activity with patient-reported events.
21 $6 $109
Continuous ECG monitoring with transmission and review
Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report.
18 $18 $89
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
17 $145 $905
Aminophylline injection, up to 250 mg
Administration of aminophylline medication via injection for a dose of up to 250 mg.
16 $8 $50
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. A higher procedure volume generally indicates more experience with that procedure.
2.5% high complexity
33.9% medium
63.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,362
Total received (2018-2024)
Avg $480/year across 7 years
Top 22% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
169
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,241 (96.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$121 (3.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$831
2023
$185
2022
$304
2021
$728
2020
$511
2019
$497
2018
$306

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$109
UCB, Inc.
$96
Amgen Inc.
$69
Boehringer Ingelheim Pharmaceuticals, Inc.
$66
Averitas Pharma Inc.
$62
Novo Nordisk Inc
$54
Alexion Pharmaceuticals, Inc.
$50
Otsuka America Pharmaceutical, Inc.
$46
Radius Health, Inc.
$42
Corcept Therapeutics
$40
Aurinia Pharma U.S., Inc.
$35
Lilly USA, LLC
$28
SANOFI-AVENTIS U.S. LLC
$28
Kyowa Kirin, Inc.
$26
Vital Connect, Inc
$23
Daiichi Sankyo Inc.
$18
Kiniksa Pharmaceuticals International, plc
$14
GlaxoSmithKline, LLC.
$13
Novartis Pharmaceuticals Corporation
$13
Top 3 companies account for 32.8% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$369
Amgen Inc.
$308
Novartis Pharmaceuticals Corporation
$285
AstraZeneca Pharmaceuticals LP
$245
Novo Nordisk Inc
$213
PFIZER INC.
$198
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$143
Medtronic Vascular, Inc.
$138
UCB, Inc.
$128
Medtronic, Inc.
$126
Astellas Pharma US Inc
$121
Boston Scientific Corporation
$119
Boehringer Ingelheim Pharmaceuticals, Inc.
$112
Alexion Pharmaceuticals, Inc.
$81
Actelion Pharmaceuticals US, Inc.
$78
Amarin Pharma Inc.
$63
Averitas Pharma Inc.
$62
Otsuka America Pharmaceutical, Inc.
$46
Radius Health, Inc.
$42
Corcept Therapeutics
$40
Lantheus Medical Imaging, Inc.
$37
Aurinia Pharma U.S., Inc.
$35
Chiesi USA, Inc.
$29
Lilly USA, LLC
$28
SANOFI-AVENTIS U.S. LLC
$28
E.R. Squibb & Sons, L.L.C.
$27
Kyowa Kirin, Inc.
$26
GE HEALTHCARE
$26
Vital Connect, Inc
$23
Horizon Therapeutics plc
$20
Regeneron Healthcare Solutions, Inc.
$20
CVRx, Inc.
$19
Daiichi Sankyo Inc.
$18
ARALEZ PHARMACEUTICALS US INC.
$17
Esperion Therapeutics, Inc.
$15
Kiniksa Pharmaceuticals, Ltd.
$15
Kiniksa Pharmaceuticals International, plc
$14
GlaxoSmithKline, LLC.
$13
Integra LifeSciences Corporation
$12
Allergan Inc.
$11
Janssen Scientific Affairs, LLC
$10
Top 3 companies account for 28.6% of all-time payments
Associated products mentioned in payments ›
Arcalyst · BRILINTA · BYSTOLIC · Barostim Neo System · Bimzelx · CHANTIX · COBALT DR MRI SURESCAN · Cimzia · CoreValve Evolut · Corlanor · Crysvita · DEFINITY · ELIQUIS · ENTRESTO · Enbrel · Euphora · FARXIGA · INJECTAFER · INSTRUMENTS-ENT · INVOKANA · JARDIANCE · KENGREAL · KRYSTEXXA · Korlym · LEQVIO · LEXISCAN · LUPKYNIS · LifeVest · NEXLETOL · OFEV · OPSUMIT · Ozempic · PRALUENT ALIROCUMAB INJECTION · PREVNAR 13 · QUTENZA · REXULTI · Repatha · SHINGRIX · STRENSIQ · TEPEZZA · TZIELD · Tymlos · UPTRAVI · VITALPATCH RTM · Vascepa · WATCHMAN · WATCHMAN Access System · Wegovy · XARELTO · ZONTIVITY
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Toccoa?
Compare internal medicine physicians in the Toccoa area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
34
Per 100K population
126.7
County median income
$52,264
Nearest hospital
STEPHENS COUNTY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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. Matthews is an electrophysiology & cardiac specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Matthews experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Matthews performed 172 electrocardiogram (ekg), 12-lead services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Matthews receive payments from pharmaceutical companies?
Yes. Dr. Matthews received a total of $3,362 from 41 companies across 169 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Matthews's costs compare to other internal medicine physicians in Toccoa?
Dr. Matthews's average Medicare payment per service is $76. 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. Matthews) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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. Payments from industry are legal and do not indicate wrongdoing. 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 →