Fidel Mata, P.A.
NPI 1558445924ActiveIndividual· Physician Assistant, Medical· Decatur, IL
Physician Assistant, Medical (P.A.) with Prairie Cardiovascular Consultants Ltd, practicing in Decatur, Illinois. Their prescriptions cost Medicare Part D more than their services did: $215,632 for 1,458 claims, against $32,132 paid for services in 2024. Pfizer Inc. reported $19.94 in payments in 2025, mostly food and beverage. Lists Hshs Good Shepherd Hospital Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1558445924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 085-002235 | IL |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 085.002235 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 320 |
|---|---|
| Services billed | 386 across 14 procedure codes |
| Paid by Medicare | $32,132 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,458 · 2,612 30-day fills |
|---|---|
| Patients | 308 |
| Total drug cost | $215,632 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Prairie Cardiovascular Consultants LtdDecatur, IL · 90 clinicians
Hospital affiliations
- Hshs Good Shepherd Hospital IncShelbyville, IL
- St Johns HospitalSpringfield, IL
- St Marys HospitalDecatur, IL
Industry payments (Open Payments)
- 2025$19.94 · 1 payment from 1 company
- 2024$144.07 · 8 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $19.94 | 1 |
What the 2025 payments were for
- Food and Beverage$19.94 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Decatur
- 1174756639
- 1366927741
- 1003299082
- 1154308815
- 1790362937
- 1306026224