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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Montanez
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    Edward Montanez — Billing Profile & Reimbursement Data

    NPI 1366415721 · Elkhorn, NE · Family Medicine Physician

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    Edward Montanez is a family medicine physician provider located in Elkhorn, Nebraska. This profile covers 10 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
    OrganizationEdward Montanez
    Address1908 N 203rd St
    CityElkhorn
    StateNE
    ZIP68022
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicare$41.9K
    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.

    10 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…270$80$20.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$120$13.1K
    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…20$110$2.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$2.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.160$10$1.3K
    G0008Administration of influenza virus vaccine30$30$920
    G0009Administration of pneumococcal vaccine20$30$420
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…110$1$340
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$240
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…20$10$190

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147683,210110$70$14.9K
    G043928585070$90$8.9K
    9921562192040$110$7K
    9066231243060$70$6.3K
    G000857587050$30$3.2K
    364155221,120130$10$2K
    8303647952080$10$1.3K
    G000934547020$30$760
    9300041768030$10$640
    810021012040$1$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William FitzgibbonsNEFamily Medicine Physician$79.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas WoodwardNEPediatric Dentistry$0$1.1M
    Village Pointe Pediatrics, PCNEPediatrics Physician$0$1M
    Integrative Psychiatry, LLCNEPsychiatric/Mental Health Nurse Practitioner$0$358.9K
    Ajoy JanaNEOrthopaedic Surgery Physician$252.9K$0
    Thomas BrooksNEInterventional Pain Medicine Physician$203.2K$0
    Paige CharlestonNEUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$201.1K$0
    Todd SekundiakNEOrthopaedic Surgery Physician$188.5K$0
    Charles RosipalNEOrthopaedic Surgery Physician$166.1K$0
    Jon UggenNEOrthopaedic Surgery Physician$155K$0
    Jessica BrackenNEUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$153.9K$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. Nebraska Distribution
    Edward Montanez — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska