Jose a L Monteiro MD PC

Jose a L Monteiro MD PC was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoJOSE A L MONTEIRO MD PC
FALL RIVER, MA 02721

33aNPI1275581688assigned 05/05/2006

33bProvider typeInternal Medicine Physician

28Total paid$1.16M

24GClaims88,227

24DCodes billed61

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#32 of 1,270

Median peer was paid$8K

This provider vs. median139×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	15,210	14,138	$644K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.3%	6,201	2,261	$108K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.0%	2,888	2,710	$81K
99358	Prolong nursin fac eval 15m	4.5%	1,422	1,363	$52K
93000		3.1%	4,854	4,679	$36K
99239	Hospital discharge day management, more than 30 minutes	2.5%	1,083	1,015	$29K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	1,068	589	$26K
99222	Initial hospital care, per day, moderate complexity	1.7%	442	429	$19K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.3%	240	235	$16K
83036	Hemoglobin; glycosylated (A1C)	1.2%	5,321	5,116	$14K
82570		<1%	5,263	4,888	$10K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,965	2,824	$8K

49 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	967	$8K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	250	$8K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	78	$7K
80053	Comprehensive metabolic panel	<1%	3,710	$7K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	67	$7K
99308	Subsequent nursing facility care, per day, straightforward	<1%	205	$6K
93793		<1%	2,146	$6K
99490	Ccm add 20min	<1%	1,550	$6K
85027		<1%	1,746	$5K
80061	Lipid panel	<1%	2,636	$5K
82728		<1%	908	$5K
94375		<1%	243	$4K
81003		<1%	5,372	$4K
36415	Collection of venous blood by venipuncture	<1%	6,538	$4K
83735		<1%	2,053	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	354	$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	<1%	208	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	274	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	49	$3K
82550		<1%	2,119	$2K
82044		<1%	1,146	$2K
85610		<1%	1,788	$2K
83540		<1%	696	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$2K
82947		<1%	971	$1K
83880		<1%	129	$956.40
ATP18		<1%	250	$899.54
ATP14		<1%	339	$882.09
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	25	$854.88
ATP19		<1%	474	$787.29
90674		<1%	128	$782.32
90688		<1%	67	$739.01
84550		<1%	1,581	$710.85
90662		<1%	172	$691.53
77085		<1%	41	$657.54
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	668	$610.40
80048	Basic metabolic panel (calcium, ionized)	<1%	273	$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	<1%	32	$488.07
80305		<1%	233	$408.97
ATP15		<1%	167	$359.37
90715		<1%	17	$298.15
ATP16		<1%	149	$228.69
82270		<1%	115	$198.27
82274		<1%	16	$150.26
93016		<1%	13	$133.04
93018		<1%	13	$87.66
84443	Thyroid stimulating hormone (TSH)	<1%	13	$64.68
G0008	Administration of influenza virus vaccine	<1%	225	$19.39
84100		<1%	43	$9.94

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 officialMONTEIRO, JOSE (MD)