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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRamiro Montalvo
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    Ramiro Montalvo — Billing Profile & Reimbursement Data

    NPI 1225147135 · Brookhaven, MS · Internal Medicine Physician

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    Ramiro Montalvo is a internal medicine physician provider located in Brookhaven, Mississippi. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRamiro Montalvo
    Address940 Brookway Blvd
    CityBrookhaven
    StateMS
    ZIP39601
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$284.9K
    Medicaid$0

    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.

    34 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…1,160$70$83.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…240$280$64.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit460$120$53.8K
    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…280$50$12.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,040$10$8.3K
    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…180$50$8.1K
    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…850$10$6.8K
    G0444Annual depression screening, 5 to 15 minutes350$20$6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…130$40$5K
    G0009Administration of pneumococcal vaccine230$20$4.9K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    803079190200$60$24.1K
    992141674,110170$70$21.9K
    99490182330200$40$15.2K
    G04393681070$110$14.4K
    994583850280$30$12.3K
    992138374,000100$50$10.3K
    9949612317030$170$10.2K
    9921555890040$110$9K
    90677248020$280$8.7K
    9945774110130$30$8.1K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashland Hospital CorporationKYGeneral Acute Care Hospital$0$222.9M
    King's Daughters Medical CenterMSGeneral Acute Care Hospital$0$32.2M
    Kdmc Physician Clinics LLCMSMulti-Specialty Clinic/Center$0$9.2M
    State Of Mississippi - University Of Mississippi Medical CenterMSCritical Access Hospital$0$7.5M
    Reuben StoneMSCardiovascular Disease Physician$1.1M$0
    Donny StokesMSCardiovascular Disease Physician$881.8K$0
    Brett BennettMSInterventional Cardiology Physician$779K$0
    James BennettMSInterventional Cardiology Physician$661.1K$0
    William CrowderMSInterventional Cardiology Physician$465.1K$0
    William NicholsMSInterventional Cardiology Physician$357.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid South Home Care, LLCMSIn Home Supportive Care Agency$0$10.8M
    Precision Healthcare Staffing LLCMSHomemaker$0$4.7M
    Joey SessumsMSPediatric Dentistry$0$3.9M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.8M
    Brookhaven Ob-gyn Associates, PAMSSpecialist$0$2.5M
    Therapy Nook PCMSSpeech-Language Pathologist$0$2.2M
    Passionate Care Home Health,llcMSHome Health Agency$0$1.6M
    Lincare Inc.MSDurable Medical Equipment & Medical Supplies$0$1.5M
    Fresenius Medical Care East Mccomb Dialysis, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.3M
    Bridging Community With Healthcare, LLCMSPrimary Care Clinic/Center$0$1.2M

    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. Mississippi Distribution
    Ramiro Montalvo — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi