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    Steven Montana — Billing Profile & Reimbursement Data

    NPI 1225034788 · East Setauket, NY · Hematology & Oncology Physician

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    Steven Montana is a hematology & oncology physician provider located in East Setauket, New York. This profile covers 109 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSteven Montana
    Address235 N Belle Mead Rd
    CityEast Setauket
    StateNY
    ZIP11733
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 21, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$28.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    109 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,000$40$645K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,400$110$271.3K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…6,590$20$151.5K
    J0897Injection, denosumab, 1 mg6,120$20$116.3K
    J1439Injection, ferric carboxymaltose, 1 mg107,250$1$107.3K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg3,150$30$107.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,330$60$73.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…470$130$60.2K
    99215The provider sees an established 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…300$170$49.3K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)22,900$1$45.8K

    Showing 1–10 of 109

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 109 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    109 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927116609,900$40$505.5K
    J156814302,880$30$113.4K
    J08971004902,820$20$84.4K
    88185151001,210$20$74.9K
    J143969039,750$1$42K
    J0881188013,100$1$41K
    803077912070$60$23.1K
    99490761,210150$50$21K
    J145424050$340$20.5K
    992143930,45090$100$19K

    Showing 1–10 of 109

    • More pages

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,100$20$26.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…90$10$890
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…860$1$860
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…10$10$90
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.620$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.240$0$0
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…10$0$0
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…140$0$0
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.40$0$0
    84100The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.30$0$0

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…17,95419,110360$70$321K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.3885901,160$20$277.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,82416,550220$90$186.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…437850960$1$36.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2,2815,090450$10$35.9K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…375390730$10$34.6K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.3213601,440$1$13.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…7561,110230$10$12.1K
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…151230640$1$11.3K
    84550The lab analyst performs a test to measure the amount of uric acid in patient blood.227260410$1$11K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Tony AbrahamNYNuclear Radiology Physician$7.6M$442.6K
    Riem BadrNYHematology (Pathology) Physician$8M$2.2K
    Alexander ZuhoskiNYHematology & Oncology Physician$4.4M$45.7K
    Pejman DalaieNYDiagnostic Radiology Physician$3.6M$172.2K
    Esther CoronelNYDiagnostic Radiology Physician$3.3M$162.2K
    Roy ChenNYHematology & Oncology Physician$3.3M$104.3K
    Dimitri KessarisNYUrology Physician$275.7K$2.8M
    David ChuNYHematology & Oncology Physician$3.1M$44.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Joseph CirroneNYRadiation Oncology Physician$1.7M$0
    Mark BorekNYCardiovascular Disease Physician$1.5M$0
    Martin SilversteinNYRadiation Oncology Physician$1.2M$17.5K
    Gurmohan SyaliNYMedical Oncology Physician$1.1M$69.2K
    Emanuel ChryssosNYCardiovascular Disease Physician$1M$30
    Rocco CarusoNYHematology & Oncology Physician$1M$4.6K
    Khurram ChaudharyNYRetina Specialist (Ophthalmology) Physician$910.4K$66.8K
    Chirayu GorNYCardiovascular Disease Physician$838.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Steven Montana — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Steven Montana — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York