Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Montellano, Franklin

Montellano, Franklin was paid $1.23M by Medicaid between Jan 2018 and Sep 2024, across 100 billing codes. Its largest line is 0202U, Oncology (prostate), multianalyte, gene expression profiling — 14% of everything it billed.

33Billing provider infoMONTELLANO, FRANKLIN
GENEVA, IL 60134
33aNPI1669554663assigned 10/19/2006
28Total paid$1.23M
24GClaims197,306
24DCodes billed100
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#56 of 398
Median peer was paid$66K
This provider vs. median19×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201820,567$93K
201933,270$201K
202038,909$239K
202139,588$255K
202238,603$283K
202326,306$159K
2024incomplete63$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0202U Oncology (prostate), multianalyte, gene expression profiling 14% 771 733 $173K
80053 Comprehensive metabolic panel 13% 30,362 20,328 $155K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8.3% 3,313 2,716 $102K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.9% 29,981 20,022 $85K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5.3% 2,785 2,392 $66K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4.6% 336 279 $57K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2.8% 1,484 1,057 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.7% 985 930 $33K
84443 Thyroid stimulating hormone (TSH) 2.6% 3,965 3,559 $32K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.5% 1,379 1,333 $31K
80048 Basic metabolic panel (calcium, ionized) 2.4% 7,262 3,172 $30K
83735 2.1% 7,807 3,333 $26K
88 more codes
85027 2.0% 8,703 $25K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 500 $19K
83690 1.3% 4,829 $16K
87040 1.3% 1,532 $16K
84484 1.2% 3,146 $15K
84703 1.1% 3,847 $14K
81001 1.1% 9,872 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.0% 1,807 $13K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,334 $12K
82962 <1% 6,679 $12K
85610 <1% 5,657 $11K
82607 <1% 1,747 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 171 $10K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 138 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 314 $10K
86140 <1% 3,881 $9K
86850 <1% 2,940 $8K
80061 Lipid panel <1% 2,355 $8K
86901 <1% 3,402 $8K
87581 <1% 335 $8K
87486 <1% 334 $8K
85379 <1% 2,005 $8K
82746 <1% 1,270 $7K
84439 <1% 1,584 $7K
81025 <1% 3,590 $7K
82550 <1% 2,363 $7K
85730 <1% 2,230 $7K
87186 <1% 1,065 $6K
87631 <1% 120 $6K
84466 <1% 1,364 $6K
86900 <1% 3,407 $6K
83605 <1% 1,196 $6K
82553 <1% 1,446 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,699 $5K
83880 <1% 473 $5K
82728 <1% 1,262 $5K
82803 <1% 589 $5K
83615 <1% 1,808 $5K
83540 <1% 1,424 $4K
85007 <1% 2,163 $4K
87641 <1% 161 $4K
87070 <1% 890 $3K
85652 <1% 2,066 $3K
84702 <1% 602 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 101 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 286 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 41 $2K
83970 <1% 133 $2K
87075 <1% 317 $2K
84100 <1% 931 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 85 $2K
82570 <1% 839 $2K
87205 <1% 781 $1K
87077 <1% 180 $1K
87081 <1% 288 $800.40
83498 <1% 96 $771.24
83516 <1% 135 $721.36
87807 <1% 141 $638.81
85018 <1% 546 $620.81
84550 <1% 288 $597.25
83021 <1% 87 $554.19
82077 <1% 53 $549.08
85014 <1% 464 $524.97
87340 <1% 60 $398.25
80076 <1% 105 $367.25
84030 <1% 119 $294.56
82261 <1% 34 $280.50
82140 <1% 63 $275.31
84481 <1% 56 $274.34
80050 General health panel <1% 396 $255.60
83789 <1% 34 $245.82
84156 <1% 165 $192.18
84403 <1% 13 $176.96
82248 <1% 76 $156.33
82776 <1% 34 $119.68
86803 <1% 12 $101.04
82150 <1% 25 $79.75
86880 <1% 29 $75.60
87088 <1% 14 $74.32
82565 <1% 31 $72.23
86308 <1% 24 $57.60
82784 <1% 13 $54.48
86592 <1% 26 $54.00
84134 <1% 13 $50.99
84145 <1% 371 $42.68
84132 <1% 16 $33.36
85045 <1% 14 $18.34
80320 0% 41 $0.00

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.