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

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Daniel Montero (NPI 1376591842)

Field	Value
Entity Type	Individual
Organization	Daniel Montero
Address	3420 Us Highway 27 N
City	Sebring
State	FL
ZIP	33870
Taxonomy	Family Medicine Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$3.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	40	$40	$1.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$40	$700
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	20	$30	$640
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$40	$570
81002	The 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…	50	$1	$160
93005	The 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	$1	$90
96146	The patient is administered a single, standardized psychological or neuropsychological test using an electronic platform such as a computer, which scores the test on completion.	10	$1	$20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Daniel Montero — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
20610	2,590	2,830	60	$50	$7K
Q0091	567	730	30	$40	$2K
G0180	820	2,390	30	$40	$1.9K
G0179	604	780	30	$30	$1.6K
93005	79	130	30	$1	$330
81002	663	2,440	30	$1	$270
96146	4	10	20	$1	$40

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Medical Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.5M
F&s Radiology, P.C.	FL	Diagnostic Radiology Physician	$0	$7.5M
Highlands County Board Of County Commissioners	FL	Land Ambulance	$1.7M	$1.8M
Scott Gasiorek	FL	Radiation Oncology Physician	$3M	$0
Darrin Rotman	FL	Dermatology Physician	$2.7M	$0
Mahender Yellu	FL	Medical Oncology Physician	$2.6M	$0
Amit Shah	FL	Medical Oncology Physician	$2M	$0
Syed Ahmed	FL	Medical Oncology Physician	$1.2M	$0
Thomas Lackey	FL	Surgery Physician	$1.1M	$61.7K
Winter Haven-sebring Fl Ophthalmology Asc LLC	FL	Ambulatory Surgical Clinic/Center	$923K	$0

Daniel Montero — Billing Profile & Reimbursement Data

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Daniel Montero — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References