MARIO MONTALVO, D.O.
Pulmonary Disease Physician · HARRISONBURG, VA
Individual Active NPI 1194103085
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 464 | 1,245 | $236,325 | $105,886 | $79,908 |
| 2023 | 454 | 1,187 | $188,069 | $86,010 | $67,757 |
| 2022 | 194 | 466 | $79,961 | $37,373 | $29,758 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 163 | $202 | $161 |
| 94729 | Test to examine how well the lungs exchange gases | 131 | $8 | $7 |
| 94726 | Test to determine lung volumes using sensors | 130 | $11 | $9 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 100 | $10 | $8 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 85 | $138 | $104 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $93 | $58 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 67 | $173 | $120 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 53 | $75 | $60 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 46 | $127 | $84 |
| 94010 | Test to measure expiratory airflow and volume | 36 | $8 | $6 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 34 | $63 | $40 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | $165 | $125 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 0102205923 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116032549 | VA | |
| Internal Medicine Physician | 207R00000X | OS018886 | PA | |
| Internal Medicine Physician | 207R00000X | 0102205923 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0102205923 | VA | |
| Hospitalist Physician | 208M00000X | 0102205923 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.