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Matthew J Metzger, CP

Clinical Psychologist · Los Gatos

NPI 1003048968

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Wellspring Psychology PC · 5 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Matthew J Metzger’s office at (408) 357-4102 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$177,641

Medicare paid this office $177,641 for 83 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Psychotherapy, 1 hour76$172,642$135
Psychiatric diagnostic evaluation29$4,521$156

Who their Medicare patients are

83 Original Medicare patients in 2024. Average age 74 · Women 72% · Health risk score 1.08. At or below the middle of the specialty; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: Depression 64% · High blood pressure 58% · Coronary heart disease 29% · Atrial fibrillation 19% · Cancer 18% · Diabetes 14% · COPD 13%.

The office billed $328,350, Medicare allowed $228,024 and paid $177,641; for 1,314 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024831,314741.08$328,350$177,641
20231441,784731.11$446,450$236,636
2022841,441731.02$348,425$193,244
2021741,437711.09$287,250$195,132
202052985681.43$184,610$123,413
201940936681.33$172,460$110,555
201844644671.08$116,005$71,462
201713246661.11$44,280$26,907

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Psychotherapy, 1 hour131$223,817$132
Psychiatric diagnostic evaluation73$12,031$156

2022: 2 services

Original Medicare services billed in 2022
Psychotherapy, 1 hour82$185,276$134
Psychiatric diagnostic evaluation44$7,161$156

2021: 2 services

Original Medicare services billed in 2021
Psychotherapy, 1 hour72$189,565$136
Psychiatric diagnostic evaluation34$5,172$148

2020: 2 services

Original Medicare services billed in 2020
Psychotherapy, 1 hour51$121,272$125
Psychiatric diagnostic evaluation18$2,141$119

2019: 2 services

Original Medicare services billed in 2019
Psychotherapy, 1 hour37$108,247$119
Psychiatric diagnostic evaluation12$1,474$123

2018: 1 service

Original Medicare services billed in 2018
Psychotherapy, 1 hour40$70,319$112

2017: 1 service

Original Medicare services billed in 2017
Psychotherapy, 1 hour13$26,907$109

Professional record

NPI
1003048968
Licence
CA PSY25425
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
475 Alberto Way Ste 180, Los Gatos, CA, 95032
NPI first listed
2009-08-11
NPI last updated
2022-11-10
NPI record certified
2022-11-10

This is when the NPI record was last certified, not a medical board exam.