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

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

Edwin Gonzalez Montoya (NPI 1396255097)

Field	Value
Entity Type	Individual
Organization	Edwin Gonzalez Montoya
Address	6585 E State St
City	Rockford
State	IL
ZIP	61108
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	October 7, 2017

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	9,680	$280	$2.7M
D9223	N/A	5,590	$270	$1.5M
D7240	N/A	3,500	$380	$1.3M
D7230	N/A	2,440	$270	$662.3K
D9222	N/A	5,170	$130	$656.1K
D0330	N/A	7,420	$60	$423.1K
D9310	N/A	5,750	$70	$373.6K
D0140	Limited oral evaluation – problem focused	4,640	$40	$199.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	120	$200	$24.2K
D7220	N/A	20	$240	$4.8K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Edwin Gonzalez Montoya — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	3	20	200	$290	$317K
D9223	N/A	2	20	290	$280	$294.8K
D7230	N/A	4	20	80	$200	$158.6K
D9222	N/A	2	20	260	$140	$136.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2	490	160	$100	$64.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	580	980	190	$60	$40.4K
D7220	N/A	4	10	130	$150	$28.9K
D0330	N/A	5	770	170	$20	$14.4K
D0140	Limited oral evaluation – problem focused	24	1,360	230	$20	$10.7K
D9310	N/A	1	150	70	$30	$9.7K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Jamali	IL	Oral and Maxillofacial Surgery (Dentist)	$0	$6M
Naheed Yasmeen	IL	Dentist	$0	$3.3M
Henry Cho	IL	Dentist	$0	$3.2M
Sravani Thikkavarapu	IL	Dentist	$0	$3.1M
Minghui Tang	IL	Dentist	$0	$2.9M
Shonna Curry	NV	Dentist	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Edwin Gonzalez Montoya, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt Of Illinois, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Shweta Patel	IL	General Practice Dentistry	$0	$5.5M
Rosecrance Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.9M
Remedies Renewing Lives	IL	Substance Use Disorder Rehabilitation Clinic/Center	$78.8K	$4.3M
Integrated Homecare Services, Inc.	IL	Oxygen Equipment & Supplies (DME)	$0	$3.4M
Jason Grinter	IL	Dentist	$0	$3.2M
Matthew Keene	IL	Primary Podiatric Medicine Podiatrist	$144.7K	$297.2K
Sameer Ansar	IL	Endocrinology, Diabetes & Metabolism Physician	$97.9K	$189.3K
Charles Ambelang	IL	Diagnostic Radiology Physician	$128.5K	$146K
Sujit Shrestha	IL	Anatomic Pathology & Clinical Pathology Physician	$27.6K	$218.4K

Edwin Gonzalez Montoya — Billing Profile & Reimbursement Data

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Edwin Gonzalez Montoya — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References