NP / PA
Frank Daniel Mongiardo M.D. P.S.C
Frank Daniel Mongiardo M.D. P.S.C was paid $169K by Medicaid between Jan 2018 and Oct 2020, across 15 billing codes. Its largest line is 41530, — 53% of everything it billed.
33Billing provider infoFRANK DANIEL MONGIARDO M.D. P.S.C
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1063552529assigned 02/07/2007
33bProvider typeNurse Practitioner
28Total paid$169K
24GClaims5,335
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#102 of 260
Median peer was paid$89K
This provider vs. median1.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,305 | $44K | |
| 2019 | 1,733 | $24K | |
| 2020 | 1,297 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41530 | 53% | 59 | 39 | $90K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 13% | 175 | 144 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.5% | 838 | 720 | $13K |
| 31231 | 6.0% | 344 | 315 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 463 | 402 | $10K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.7% | 90 | 82 | $8K |
| 92588 | 4.2% | 287 | 264 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 226 | 208 | $4K |
| 92557 | 1.6% | 207 | 195 | $3K | |
| 92567 | 1.1% | 288 | 265 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 663 | 577 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 605 | 526 | $0.00 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONGIARDO, FRANK (M.D.)