Medicare Enrolled

Dr. Kenneth Mathis, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
6400 FANNIN ST STE 1700, Houston, TX 77030
7134865555
Registered in NPPES since 2006
NPI: 1912940487 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. Mathis 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. Mathis

Dr. Kenneth Mathis is an adult reconstructive orthopaedic surgery physician in Houston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Mathis performed 772 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Mathis received a total of $71,987 from 18 pharmaceutical and/or device companies across 89 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. Mathis 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.

✓ 20 years of NPI registration ▲ 772 Medicare services $71,987 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
772
Medicare services
Bottom 33% in TX for adult reconstructive orthopaedic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$270
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
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
202 $32 $134
Total knee replacement 97 $1,053 $7,566
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.
91 $64 $223
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
74 $32 $126
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.
70 $77 $317
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.
63 $116 $379
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
50 $1,062 $9,224
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.
43 $72 $240
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
34 $54 $345
Injection, methylprednisolone acetate, 40 mg 25 $6 $20
Revision of total knee joint prosthesis component
Surgical procedure to replace or modify one part of a previously implanted total knee replacement. This is performed to address issues with a specific component of the existing joint prosthesis.
12 $873 $7,340
Knee joint replacement
Surgical procedure to replace a knee joint with an artificial implant.
11 $958 $5,556
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.
20.5% high complexity
7.6% medium
71.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$71,987
Total received (2018-2024)
Avg $10,284/year across 7 years
Top 19% in TX for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
89
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
$1,485
2023
$15,678
2022
$24,095
2021
$5,334
2020
$205
2019
$3,393
2018
$21,798

Payments by company (2024)

Becton, Dickinson and Company
$364
Stryker Corporation
$341
Total Joint Orthopedics, Inc.
$176
Sanara MedTech Inc.
$148
ORTHALIGN INC
$144
Maxx Orthopedics, Inc.
$136
Heron Therapeutics, Inc.
$132
Onkos Surgical, Inc.
$44
Top 3 companies account for 59.3% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$43,087
Zimmer Biomet Holdings, Inc.
$20,185
Total Joint Orthopedics, Inc.
$5,310
EXACTECH, INC.
$831
Stryker Corporation
$749
Becton, Dickinson and Company
$364
ORTHALIGN INC
$339
Maxx Orthopedics, Inc.
$245
Onkos Surgical, Inc.
$154
Sanara MedTech Inc.
$148
Heron Therapeutics, Inc.
$132
Engage Uni, LLC
$114
Innovation Technologies Inc
$93
Exactech, Inc.
$91
Heraeus Medical, LLC.
$66
KCI USA, Inc.
$33
Next Science LLC
$30
Medtronic, Inc.
$17
Top 3 companies account for 95.3% of all-time payments
Associated products mentioned in payments ›
CellerateRx · Channel Drain · ELEOS LIMB SALVAGE SYSTEM · Engage Partial Knee System · GAMMA · Hips-None · IRRISEPT · JOURNEY II · Journey II CR · LEGION · LEGION TKS · MAKO · NKII · NOVATION HIP · OPTETRAK · OR3O Dual Mobility · ORTHALIGN PLUS · PALACOS · PREVENA · PREVENA RESTOR ARTHO-FORM · REAL INTELLIGENCE · SurgX · TRULIANT · V-LOC 180 · VISIONAIRE · ZYNRELEF · mymobility Platform
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 →
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Geographic Context

Adult reconstructive orthopaedic surgery physicians in nearby ZIP areas
21
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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. Mathis is a clinical cardiology specialist, with moderate Medicare volume, with 20 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. Mathis experienced with knee x-ray, 3 views?
Based on Medicare claims data, Dr. Mathis performed 202 knee x-ray, 3 views 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. Mathis receive payments from pharmaceutical companies?
Yes. Dr. Mathis received a total of $71,987 from 18 companies across 89 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. Mathis's costs compare to other adult reconstructive orthopaedic surgery physicians in Houston?
Dr. Mathis's average Medicare payment per service is $270. 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. Mathis) 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 →