GRACE MONTENEGRO, M.D.
Colon & Rectal Surgery Physician · SAINT LOUIS, MO
Individual Active NPI 1497948087
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 97 | 248 | $131,683 | $52,049 | $41,466 |
| 2023 | 94 | 195 | $93,856 | $43,992 | $33,944 |
| 2022 | 87 | 184 | $81,728 | $38,791 | $30,563 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 31 | $102 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $65 | $50 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | $94 | $72 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | $49 | $39 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | $131 | $99 |
| 46600 | Diagnostic exam of anus using an endoscope | 11 | $39 | $26 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $81 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 2013017017 | MO |
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.