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

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

Jose Montes-rivera (NPI 1700183613)

Field	Value
Entity Type	Individual
Organization	Jose Montes-rivera
Address	263 Farmington Ave
City	Farmington
State	CT
ZIP	06030
Taxonomy	Neurology Physician
NPI Enumerated	February 12, 2011

Payer Source	Total Paid
Medicare	$19.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	60	$80	$5.2K
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…	70	$70	$4.5K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	20	$160	$3.6K
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…	10	$150	$2.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$160	$1.7K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	30	$50	$1.2K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$50	$750
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	10	$50	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Jose Montes-rivera — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,033	6,480	90	$90	$14.2K
95720	23	30	40	$170	$8.5K
99213	3,268	6,440	70	$60	$8.1K
99223	1,579	1,660	30	$140	$7.3K
99215	1,630	1,840	30	$130	$6.7K
95816	34	30	60	$60	$4.1K
95812	4	10	30	$60	$2.3K
95819	14	20	20	$40	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jose Montes-rivera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Hospital Incorporated	CT	General Acute Care Hospital	$0	$68.1M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
Bristol Hospital Multi Specialty Group, Inc	CT	General Practice Physician	$0	$7.5M
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
Bristol Hospital Multi-specialty Group, Inc.	CT	Psychiatry Physician	$0	$1.3M
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Jose Montes-rivera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
Stephen Grund	CT	Hematology (Internal Medicine) Physician	$0	$1.4M
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0
Amish Patel	CT	Diagnostic Radiology Physician	$284.6K	$0
Daniel Witmer	CT	Orthopaedic Surgery Physician	$214.5K	$0
Elizabeth Simmons	CT	Ophthalmology Physician	$205.3K	$0
Asante Mendes	CT	Psychiatry Physician	$196.7K	$0
Naveed Alvi	CT	Diagnostic Radiology Physician	$131.1K	$0
Hilary Onyiuke	CT	Neurological Surgery Physician	$120.6K	$0

Jose Montes-rivera — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References