Doctor profile · Federal record
Dr. Fidel Mata, P.A.
Medical Physician Assistant (CMS: Physician Assistant) · Cardiovascular Disease Physician · Decatur, IL
- NPI 1558445924
- Accepts Medicare
- MIPS 92.6 / 100 · 2023
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1770 E Lake Shore Dr Ste 105
Decatur, IL 625213800
(217) 422-6100
fax (833) 784-5326 - Additional location
-
1800 E Lake Shore Dr
Decatur, IL 625213810
fax (217) 422-3217
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- December 20, 2021
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (2)
- Illinois #085-002235 · Illinois #085.002235
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558445924. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
277
Distinct HCPCS
4
Medicare allowed
$27,022
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 166 | 153 | $105 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | 62 | $67 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 25 | 25 | $149 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $72 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 47. This provider delivers 5.9× the peer median.Open Payments
Industry payments received
All-time total
$144
Transactions
8
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 6 | $104.09 | |
| PFIZER INC. | 2 | $39.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,021
Patients
375
Total drug cost
$152,935
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Carvedilol | Generic | 131 | 46 | $1,363 |
| Metoprolol Succinate | Generic | 121 | 46 | $2,198 |
| Losartan Potassium | Generic | 114 | 44 | $1,365 |
| Eliquis (Apixaban) | Brand | 100 | 25 | $62,562 |
| Atorvastatin Calcium | Generic | 85 | 37 | $1,170 |
| Spironolactone | Generic | 83 | 26 | $444 |
| Furosemide | Generic | 77 | 38 | $293 |
| Jardiance (Empagliflozin) | Brand | 66 | 15 | $47,017 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 65 | 17 | $945 |
| Entresto (Sacubitril/Valsartan) | Brand | 44 | 14 | $34,153 |
Hospital affiliations
Frequently asked questions
What is Dr. Fidel Mata's medical specialty?
Dr. Fidel Mata practices Medical Physician Assistant in Decatur, IL.
Where does Dr. Fidel Mata practice?
Dr. Fidel Mata practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 625213800. Office phone: 2174226100.
What is Dr. Fidel Mata's NPI?
Dr. Fidel Mata's National Provider Identifier (NPI) is 1558445924, issued by NPPES.
Does Dr. Fidel Mata accept Medicare assignment?
Yes. Dr. Fidel Mata accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Fidel Mata commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.