What is Alan Matsumoto's specialty?

Alan Matsumoto (NPI 1043219298) is a Medicare-billing provider whose primary specialty is Rheumatology in Wheaton, MD.

Where does Alan Matsumoto practice?

Alan Matsumoto practices in Wheaton, MD, based on the location reported in the CMS Medicare provider datasets for NPI 1043219298.

How much does Medicare pay Alan Matsumoto?

Alan Matsumoto (NPI 1043219298) received approximately $3.8M in total Medicare Part B payments, serving 1,266 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1043219298

Alan MatsumotoM.D.

PRACTICEARTHRITIS AND RHEUMATISM ASSOCIATES PCSee all providers at this practice →

RheumatologyWheaton, MDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

7,221

Unique beneficiaries

—

Total services

153,668

Distinct HCPCS

Medicare payment

$2.2M

Peer benchmark

Total Medicare services vs. 133 Rheumatology providers in MD — top quintile (cohort median 27,542).

PRESCRIBING · PART D · 2024

Total Rx claims

2,194

Beneficiaries

—

Total drug cost

$2.3M

Distinct drugs

Brand share

34.5%

Top prescribed drugs

Methotrexate Sodium511 claims

Prednisone300 claims

Hydroxychloroquine Sulfate132 claims

Celecoxib127 claims

Gabapentin100 claims

QUALITY · MIPS · 2024

Final MIPS score

85.7

Quality

93.4

Cost

59.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$28K

Payment records

By payment type

Consulting Fee$9K

Honoraria$6K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6K

Travel and Lodging$5K

Food and Beverage$1K

Top paying entities

Consulting Fee$9K

Honoraria$6K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6K

Travel and Lodging$5K

Food and Beverage$1K

REFERRAL NETWORK

Where Alan Matsumoto's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 3 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	61	128
Quest Diagnostics Nichols Institute, Inc. Clinical Laboratory · Chantilly, VA	12	14
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	11	28

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	145	348
ROSENBERG, ROBERT	51	69
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	51	116
HOLY CROSS HEALTH, INC	21	39
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	15	30
BARAF, HERBERT	14	27
THE JOHNS HOPKINS HOSPITAL	14	36
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE	12	21
Paul Demarco Internal Medicine · Wheaton, MD	12	33

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events