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    OpenPayerNPI Medicare & MedicaidMonty Hawkins
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    Monty Hawkins — Billing Profile & Reimbursement Data

    NPI 1508121526 · Prescott, AZ · Clinical Pathology/Laboratory Medicine Physician

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    Monty Hawkins is a clinical pathology/laboratory medicine physician provider located in Prescott, Arizona. This profile covers 13 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMonty Hawkins
    Address1003 Willow Creek Rd
    CityPrescott
    StateAZ
    ZIP86301
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedJuly 5, 2012

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

    Payer SourceTotal Paid
    Medicare$47.8K
    Medicaid$880

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…800$30$22.3K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…120$60$7.7K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…160$30$4.4K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…140$20$2.9K
    88361The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted…70$30$2.4K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$100$1.8K
    88104The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, and interprets his findings. Cytopathology is the study of cellular changes in…80$20$1.6K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…90$20$1.5K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…20$50$890
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.10$50$700

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305123270700$40$71.1K
    88341168210270$40$28.8K
    88342109220160$50$20.6K
    8830770140120$70$9.7K
    883612030150$40$6.2K
    88173849050$70$5.4K
    8833110611050$60$3.7K
    88309649020$110$3.1K
    883048917060$20$1.6K
    8810441070$20$1.6K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$40$870

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arizona median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1331401,460$60$422.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yuma Regional Medical CenterAZGeneral Acute Care Hospital$0$278.5M
    Laboratory Medicine Consultants LtdNVClinical Medical Laboratory$1.9M$9.2M
    Laboratory Medicine Consultants LtdNVAnatomic Pathology & Clinical Pathology Physician$0$2.3M
    Jannet EversonAZFamily Nurse Practitioner$2.2M$0
    Sheva KhalafbeigiMAAnatomic Pathology & Clinical Pathology Physician$1M$10K
    Joseph RosenAZMedical Oncology Physician$978.5K$0
    Leila LangstonCODermatopathology (Pathology) Physician$803.4K$0
    Wael MilyaniGAAnatomic Pathology & Clinical Pathology Physician$769.7K$12.2K
    Darren WhittemoreTXAnatomic Pathology & Clinical Pathology Physician$714.1K$0
    David MarmadukeNVAnatomic Pathology & Clinical Pathology Physician$49.1K$655.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yavapai Community Hospital AssociationAZGeneral Acute Care Hospital$0$66.2M
    Prescott Healthcare Solutions LLCAZFamily Medicine Physician$0$13.3M
    Summit Behavioral Health Of Az, LLCAZSubstance Abuse Rehabilitation Facility$0$13.3M
    Medical Services Of Prescott, Inc.AZEmergency Medicine Physician$0$12.3M
    Prescott Whipple StageAZTaxi$0$9.2M
    Iyad HamarnehAZMedical Oncology Physician$3.5M$0
    Alan LangerakAZHematology & Oncology Physician$2.7M$0
    Allan Espinosa MorazanAZMedical Oncology Physician$2.2M$0
    Prescott Outpatient Surgical Center LLCAZAmbulatory Surgical Clinic/Center$1.7M$25.7K
    Arizona Institute Of Eye Surgery LLCAZAmbulatory Surgical Clinic/Center$1.4M$24.7K

    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. Arizona Distribution
    Monty Hawkins — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Monty Hawkins — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona