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NPI 1396943635 · Rolling Meadows, IL · Hematology & Oncology Physician
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Roberto Montoya Barraza is a hematology & oncology physician provider located in Rolling Meadows, Illinois. This profile covers 47 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Roberto Montoya Barraza |
| Address | 3701 Algonquin Rd Ste 900 |
| City | Rolling Meadows |
| State | IL |
| ZIP | 60008 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | July 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $404K |
| Medicaid | $14.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
47 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 920 | $90 | $86.9K |
| 99215 | The 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… | 530 | $140 | $73K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 330 | $110 | $35.2K |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 17,250 | $1 | $34.5K |
| J1627 | Injection, granisetron, extended-release, 0.1 mg | 5,500 | $10 | $33K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 25,500 | $1 | $25.5K |
| 96401 | The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient. | 250 | $60 | $15.2K |
| 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… | 1,600 | $10 | $12.8K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 970 | $10 | $9.7K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 180 | $50 | $9.4K |
Showing 1–10 of 47
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
47 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1627 | 9 | 10 | 6,850 | $10 | $40.7K |
| J0881 | 20 | 70 | 11,600 | $1 | $38.2K |
| J1439 | 38 | 80 | 25,500 | $1 | $30K |
| 96413 | 67 | 370 | 130 | $100 | $19.3K |
| 99233 | 5,486 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 388 | 18,540 | 110 | $80 | $17.1K |
| 99232 | 4,990 | 7,960 | 90 | $60 | $12.4K |
| 84443 | 228 | 530 | 80 | $20 | $11K |
| 99223 | 2,910 | 6,190 | 50 | $140 | $10.4K |
| 99215 | 83 | 6,240 | 40 | $120 | $10.1K |
Showing 1–10 of 47
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 230 | $50 | $10.4K |
| 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… | 530 | $10 | $2.7K |
| 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… | 40 | $30 | $960 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 8,139 | 14,680 | 300 | $50 | $48.7K |
| 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… | 437 | 830 | 700 | $1 | $47.5K |
| 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… | 11,769 | 14,190 | 280 | $20 | $38.9K |
Other providers in the same ZIP code as Roberto Montoya Barraza, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Continuum Pediatric Nursing Services Inc | IL | Nursing Care Agency | $0 | $12.6M |
| Patients Choice, LLC | IL | Customized Equipment (DME) | $0 | $4.9M |
| Professional Healthcare Inc | IL | Clinical Medical Laboratory | $0 | $4.9M |
| Professional Healthcare Inc | IL | Geriatric Medicine (Family Medicine) Physician | $2.8M | $0 |
| Kristin Elatkin | IL | Family Nurse Practitioner | $1.6M | $5K |
| Michael Bukhalo | IL | Dermatology Physician | $1.2M | $105.5K |
| Manuel Rosado | IL | Hematology & Oncology Physician | $547.3K | $29K |
| Kevin Mckian | IL | Hematology & Oncology Physician | $479.6K | $77K |
| Marina Messinger | IL | Internal Medicine Physician | $469.4K | $12.6K |
| John O'connell | IL | Family Medicine Physician | $300.6K | $61.8K |
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