MICHAEL MONSOUR, MD
Nephrology Physician · EAST PROVIDENCE, RI
Individual Active NPI 1528052677
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 279 | 1,343 | $319,275 | $157,482 | $119,841 |
| 2023 | 281 | 805 | $277,402 | $132,108 | $100,435 |
| 2022 | 269 | 782 | $323,285 | $154,364 | $118,029 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 284 | $78 | $62 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 215 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 194 | $129 | $91 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 175 | $350 | $273 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 167 | $63 | $50 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 107 | $48 | $39 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 86 | $171 | $130 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | $49 | $39 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $221 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 14468 | RI |
| Internal Medicine Physician | 207R00000X | 01056415A | IN | |
| Nephrology Physician | 207RN0300X | 257637 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Rhode Island
- NPI 1861066458
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- NPI 1235113358
- NPI 1275914509
- NPI 1770998338
- NPI 1669455192
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.