Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Paul Monsour (NPI 1184691271)

Field	Value
Entity Type	Individual
Organization	Paul Monsour
Address	4204 Houma Blvd
City	Metairie
State	LA
ZIP	70006
Taxonomy	Radiation Oncology Physician
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole payer source on file: Total Medicare revenue is $1.6M while Medicaid revenue is listed as none, making the practice effectively single‑payer (Medicare) in the available data. That concentration in a single payer should be considered when assessing patient mix and reimbursement exposure.

Revenue is extremely concentrated in a single therapeutic product code. A9607 accounts for 7.8K claims, $192 avg paid/claim, $1.5M revenue (91.2% of this provider's total Medicare revenue) and, together with the next two codes, drives a precomputed 94.9% of Medicare revenue, indicating the business is heavily dependent on lutetium‑based radiopharmaceutical therapy.

The provider’s broader radiation oncology activity is present but low-revenue relative to A9607: 77427 shows 221 claims, $149 avg paid/claim, $32.9K revenue (2.0%) and 77014 shows 784 claims, $34 avg paid/claim, $26.7K revenue (1.6%). These codes indicate ongoing external beam/radiation management and imaging/technical services are part of the service mix, but they contribute a small share of dollars compared with radiopharmaceutical therapy.

Competitive standing for the top revenue driver is modest at the national level: A9607 ranks #22 of 44 providers nationally (51th percentile; typical, unremarkable volume for this code), so despite generating the bulk of this provider’s revenue it is not an outlier or clear national leader for that code. Similarly, 77427 ranks #1418 of 4720 (70th percentile; typical, unremarkable volume) and 77014 ranks #1148 of 4303 (73th percentile; typical, unremarkable volume), consistent with a practice that is active but not dominant across its secondary codes.

Several planning and custom-device related codes appear at above-typical volume even though they add little revenue. For example, 77334 records 253 claims, $56 avg paid/claim, $14.2K revenue (0.9%) and ranks #587 of 4463 providers nationally (87th percentile; typical, unremarkable volume for this code), suggesting the clinician is relatively active in designing special devices or compensators compared with peers while these services remain a small share of total dollars.

Long tenure on the Medicare file may reflect established practice operations: NPI enumerated (registered) 2006-03-07 (~20 years ago). That longevity, combined with concentrated use of A9607, suggests an experienced operator of advanced radiation/radiopharmaceutical treatments whose revenue profile is driven by a long‑standing adoption of a high‑cost therapeutic.

Given the preponderance of revenue from a single high-cost therapeutic code, the provider’s financial and operational performance is sensitive to utilization and reimbursement changes for A9607. Any shifts in coverage, pricing, or supply/administration logistics for that radiopharmaceutical would likely have a material impact on overall Medicare revenue given that the top 3 codes already account for 94.9% of Medicare receipts.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9607	Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie	7,760	$190	$1.5M
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	220	$150	$32.9K
77014	N/A	780	$30	$26.7K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	250	$60	$14.2K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	30	$330	$10.2K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	30	$330	$9.2K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	70	$130	$8.7K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	220	$30	$5.8K
77435	In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…	10	$500	$5.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$170	$5.4K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Paul Monsour — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9607	1	10	7,760	$190	$1.5M
77014	19	50	600	$70	$47.6K
55874	2	10	20	$1,320	$33.1K
77301	31	50	30	$760	$31K
77427	20	60	180	$150	$30.4K
77435	11	10	20	$480	$10.6K
77334	8	50	130	$60	$9.3K
99213	6,005	6,060	70	$50	$8.1K
77300	26	60	200	$30	$7.7K
77263	16	50	60	$130	$7.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Paul Monsour, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siddhartha Padmanabha	LA	Radiation Oncology Physician	$101.6K	$0

Nearby Providers

Other providers in the same ZIP code as Paul Monsour, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Healthcare System, L.c.	LA	General Acute Care Hospital	$0	$30.9M
Lcmc Health Holdings Inc	LA	General Acute Care Hospital	$0	$11.4M
Berry's Reliable Resources LLC	LA	In Home Supportive Care Agency	$0	$8.8M
Reliable Community Alternatives, LLC.	LA	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Louisiana Pain Specialists, LLC	LA	Interventional Pain Medicine Physician	$0	$7.5M
Berry's Reliable Resources L.L.C.	LA	In Home Supportive Care Agency	$0	$6M
Sunnyside Pediatrics LLC	LA	Family Medicine Physician	$0	$5.6M
East Jefferson Emergency Management LLC	LA	Emergency Medicine Physician	$0	$5.2M
Nathan A Burns Dmd Apdc	LA	Pediatric Dentistry	$0	$5.2M
Gno Snoring And Sinus, LLC	LA	Specialist	$0	$4.7M

Paul Monsour — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References