JAMES MONICA, MD
Orthopaedic Surgery Physician · SOMERSET, NJ
Individual Active NPI 1437270907
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 558 | 8,642 | $1,564,823 | $202,059 | $154,925 |
| 2023 | 479 | 1,666 | $1,538,144 | $197,530 | $150,652 |
| 2022 | 421 | 1,297 | $1,317,704 | $175,037 | $134,762 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 7,070 | $0 | $0 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 429 | $98 | $73 |
| 73030 | X-ray of shoulder, minimum of 2 views | 223 | $39 | $28 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 161 | $121 | $85 |
| 73130 | X-ray of hand, minimum of 3 views | 99 | $41 | $31 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 84 | $136 | $101 |
| 20550 | Injection into tendon or ligament | 66 | $63 | $50 |
| 73110 | X-ray of wrist, minimum of 3 views | 61 | $44 | $33 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 35 | $6 | $4 |
| 20600 | Aspiration and/or injection of fluid from small joint | 35 | $60 | $45 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 34 | $113 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $181 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 25MA08859100 | NJ |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 25MA08859100 | NJ |
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.