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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Michael Montgomery (NPI 1366553166)

Field	Value
Entity Type	Individual
Organization	Michael Montgomery
Address	301 Madison St
City	Hinton
State	WV
ZIP	25951
Taxonomy	Family Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$29.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	250	$60	$14.4K
99214	The 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…	110	$70	$7.8K
0241U	N/A	30	$140	$3.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	120	$10	$970
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	110	$10	$890
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	170	$1	$660
85025	A 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…	80	$10	$650
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	100	$1	$200
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Michael Montgomery — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,209	2,740	100	$70	$11.8K
99213	446	2,860	80	$50	$7.5K
0241U	9	20	20	$140	$3.8K
85025	40	70	110	$10	$3.6K
36415	123	340	80	$10	$1.7K
96372	42	330	40	$10	$620
J0702	7	40	70	$1	$490
81003	16	310	30	$1	$100
J2930	12	20	20	$1	$70

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hrishi Patel	WV	Internal Medicine Physician	$114.1K	$0
Nehal Patel	WV	Family Medicine Physician	$106.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Appalachian Regional Healthcare, Inc.	WV	Critical Access Hospital	$0	$6.2M
Appalachian Regional Healthcare, Inc	WV	Rural Health Clinic/Center	$0	$6M
Summers County Ems Inc	WV	Land Ambulance	$240.3K	$3.5M
Appalachian Regional Healthcare, Inc.	WV	Rural Health Clinic/Center	$0	$1.7M
Summers County Council On Aging, Inc	WV	Home Health Agency	$0	$1.4M
Summers Emergency Physicians LLC	WV	Emergency Medicine Physician	$0	$977.7K
Mountaineer Healthcare, PLLC	WV	Rural Health Clinic/Center	$0	$801.3K
Kathy Meadows	WV	Family Nurse Practitioner	$4.2K	$0

Michael Montgomery — Billing Profile & Reimbursement Data

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Michael Montgomery — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References