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

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

Nicholas Mantini (NPI 1588808646)

Field	Value
Entity Type	Individual
Organization	Nicholas Mantini
Address	500 W Broadway St Ste 320
City	Missoula
State	MT
ZIP	59802
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	April 20, 2009

Payer Source	Total Paid
Medicare	$303.9K
Medicaid	$0

Key Findings

This provider is focused on invasive cardiac electrophysiology and device management: the top revenue codes are primarily complex EP studies and device procedures (93656, 93653, 93650) and pacemaker/ICD implant and revision codes (33208, 33249, 33225), indicating a practice centered on arrhythmia diagnosis, catheter ablation (including pulmonary vein isolation), and implantation/upgrades of pacemakers and defibrillators. High volumes of device interrogation and programming codes (93280, 93284, 93281, 93248) further support a service mix that includes ongoing device follow-up and remote monitoring workflows.

Medicare is the sole payer observed for this provider: total Medicare revenue is $303.9K and there is no Medicaid billing on file, so the provider functions effectively as a single-payer Medicare biller in available records. Any Medicaid exposure or activity is absent from the dataset, which constrains assessment of dual-payer mix or Medicaid-focused service lines.

Revenue concentration is moderate: the precomputed top 3 Medicare codes by revenue account for 30.4% of the provider’s total Medicare revenue, meaning a meaningful share of income is tied to a small set of high-value EP/device procedures while the remainder is spread across many follow-up and diagnostic services. Specific high-revenue individual codes include 93656 at $36.9K (13.1% of Medicare revenue) and 33208 and 33249 each contributing around 8–8.7% of total Medicare revenue.

The provider shows exceptionally high national standing on several device-management and programming codes: 33225 ranks #2 of 785 providers nationally and is labeled an extreme outlier (far above typical national volume), while 93280, 93284, and 93281 are at or near the 100th percentile (extreme outlier) and 2nd percentile rank positions for similar codes indicate unusually concentrated procedural/programming volume compared with peers. These rankings suggest the provider is a regional or niche leader in device implantation/upgrades and device follow-up services relative to national peers.

Some invasive EP procedure volumes are elevated but not uniformly extreme: 33208 ranks in the 98th percentile (notably above typical national volume) and 33249 ranks in the 97th percentile (notably above typical national volume), while complex EP ablation 93656 sits at the 80th percentile (typical, unremarkable volume). This mix implies the practice may emphasize device work and longitudinal device management more heavily than high-volume ablation caseloads, though it still performs a meaningful number of ablation procedures.

Operational profile suggests high throughput for device outpatient care: very large claim counts for device interrogation and remote monitoring codes (e.g., 93248: 225 claims; 93280: 402 claims; 93281: 303 claims) combined with modest average paid/claim values indicate a business model with frequent, lower-paid follow-up encounters supporting implanted devices. The disproportion between claim counts and individual claim amounts points to a continuous-care workflow around implanted cardiac devices.

Tenure in the Medicare program is long: the NPI was enumerated on 2009-04-20 (~17 years ago), indicating sustained participation in Medicare billing and likely an established referral network and patient panel for electrophysiology and device services. This duration supports the interpretation of concentrated device service volumes as an ongoing, mature practice pattern rather than a transient spike.

While several codes are extreme outliers nationally, other commonly billed services show typical or unremarkable national presence (e.g., 93655, 93657, 93623, 93296 cluster in typical percentiles). This combination indicates a mixed profile where the provider is a dominant actor for device implantation and device programming services but a more typical participant for some diagnostic and supplementary EP procedures.

Medicare: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	50	$740	$36.9K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	70	$380	$24.4K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	40	$700	$24.3K
33225	In this add–on procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle at the same time as he inserts an…	60	$360	$22.8K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	40	$610	$22.6K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	400	$50	$20.1K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	260	$70	$19.3K
93281	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted multiple lead pacemaker system. He changes various…	300	$60	$17.6K
93650	In this procedure, the provider destroys the muscle fibers that conduct electrical impulses in the heart to treat an abnormal heart rhythm. He accesses the heart through a catheter inserted through…	30	$420	$14K
99205	The provider sees a new 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 provider…	80	$160	$13K

Showing 1–10 of 41

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Nicholas Mantini — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

41 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	2	10	40	$740	$30.3K
93653	1	10	20	$630	$13.9K
33249	1	10	20	$690	$13.9K
G2066	6	10	230	$40	$13.7K
33208	3	20	20	$380	$12.2K
33225	1	10	20	$360	$10.6K
99232	535	560	70	$60	$8K
99215	323	780	40	$100	$7.9K
93650	1	10	10	$430	$7.8K
99223	175	410	30	$130	$7K

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Mt	MT	Emergency Medicine Physician	$0	$8.2M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$5.7M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Scott Guess	MT	Ophthalmology Physician	$2.7M	$72.4K
Providence Health & Services Mt	MT	General Acute Care Hospital	$0	$2.4M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Providence Health & Services Mt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Providence St Joseph Medical Center	MT	Family Medicine Physician	$0	$1.1M
Providence St Joseph Medical Center	MT	Critical Access Hospital	$0	$654.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct District Of Columbia	MT	In Home Supportive Care Agency	$0	$393.2M
Youth Homes	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$9.7M
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Providence Surgery Center	MT	Ambulatory Surgical Clinic/Center	$1.6M	$3.5M
Partnership For Children	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.7M
Gary Wingfield	MT	Assisted Living Facility	$0	$4.7M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Blue Mountain Clinic, Inc.	MT	Family Medicine Physician	$0	$1.4M
Youth Homes	MT	Community/Behavioral Health Agency	$0	$972.2K
Partnership For Children	MT	Community/Behavioral Health Agency	$0	$937.8K

Nicholas Mantini — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References