Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOSE A L MONTEIRO MD PC

NPI: 1275581688 · FALL RIVER, MA 02721 · Internal Medicine Physician · NPI assigned 05/05/2006

$1.16M
Total Medicaid Paid
88,227
Total Claims
77,643
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONTEIRO, JOSE (MD)
NPI Enumeration Date05/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,846 $238K
2019 17,552 $186K
2020 20,417 $234K
2021 14,581 $208K
2022 8,821 $138K
2023 5,009 $97K
2024 3,001 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,210 14,138 $644K
99232 Subsequent hospital care, per day, moderate complexity 6,201 2,261 $108K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,888 2,710 $81K
99358 Prolong nursin fac eval 15m 1,422 1,363 $52K
93000 4,854 4,679 $36K
99239 Hospital discharge day management, more than 30 minutes 1,083 1,015 $29K
99233 Prolong inpt eval add15 m 1,068 589 $26K
99222 Initial hospital care, per day, moderate complexity 442 429 $19K
99215 Prolong outpt/office vis 240 235 $16K
83036 Hemoglobin; glycosylated (A1C) 5,321 5,116 $14K
82570 5,263 4,888 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,965 2,824 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 967 861 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 250 232 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 78 75 $7K
80053 Comprehensive metabolic panel 3,710 3,546 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 67 67 $7K
99308 Subsequent nursing facility care, per day, straightforward 205 204 $6K
93793 2,146 1,028 $6K
99490 Ccm add 20min 1,550 1,550 $6K
85027 1,746 1,675 $5K
80061 Lipid panel 2,636 2,606 $5K
82728 908 887 $5K
94375 243 222 $4K
81003 5,372 4,982 $4K
36415 Collection of venous blood by venipuncture 6,538 5,918 $4K
83735 2,053 1,981 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 354 328 $4K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 208 186 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 274 261 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 49 46 $3K
82550 2,119 2,087 $2K
82044 1,146 1,112 $2K
85610 1,788 905 $2K
83540 696 679 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
82947 971 921 $1K
83880 129 123 $956.40
ATP18 250 249 $899.54
ATP14 339 314 $882.09
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 24 $854.88
ATP19 474 472 $787.29
90674 128 125 $782.32
90688 67 67 $739.01
84550 1,581 1,559 $710.85
90662 172 164 $691.53
77085 41 41 $657.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 668 624 $610.40
80048 Basic metabolic panel (calcium, ionized) 273 254 $490.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 32 30 $488.07
80305 233 213 $408.97
ATP15 167 166 $359.37
90715 17 17 $298.15
ATP16 149 149 $228.69
82270 115 114 $198.27
82274 16 15 $150.26
93016 13 13 $133.04
93018 13 13 $87.66
84443 Thyroid stimulating hormone (TSH) 13 12 $64.68
G0008 Administration of influenza virus vaccine 225 223 $19.39
84100 43 43 $9.94