CARLOS MONTERO, M.D.
Gastroenterology Physician · BRADENTON, FL
Individual Active NPI 1518925205
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 525 | 1,149 | $336,505 | $138,952 | $105,014 |
| 2023 | 570 | 2,899 | $396,101 | $176,260 | $133,323 |
| 2022 | 592 | 3,506 | $499,670 | $227,864 | $173,291 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 182 | $88 | $67 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 180 | $124 | $82 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 121 | $82 | $65 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 115 | $103 | $79 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 112 | $245 | $182 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 73 | $77 | $61 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 63 | $109 | $70 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 60 | $128 | $100 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 32 | $49 | $39 |
| 43252 | Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $138 | $110 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $167 | $167 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $166 | $133 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME000061980 | FL |
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.