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    OpenPayerNPI Medicare & MedicaidKeith Monson
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    Keith Monson — Billing Profile & Reimbursement Data

    NPI 1700837788 · Aurora, IL · Surgery Physician

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    Keith Monson is a surgery physician provider located in Aurora, Illinois. This profile covers 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationKeith Monson
    Address2040 Ogden Ave Ste 115
    CityAurora
    StateIL
    ZIP60504
    TaxonomySurgery Physician
    NPI EnumeratedMay 13, 2006

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

    Payer SourceTotal Paid
    Medicare$39.2K
    Medicaid$2.8K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…440$20$9.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$70$6.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.120$50$5.4K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…40$130$5.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$4.2K
    99223The 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…20$150$2.5K
    99204The provider sees a new 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 provider…10$140$1.7K
    99214The 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…10$110$1.5K
    99213The 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…20$70$1.4K
    99203The provider sees a new 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 provider…10$90$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043306040$160$21.3K
    9921417,83018,540110$80$17.1K
    992323,7587,96090$60$12.4K
    992235,1326,19050$140$10.4K
    1104217648090$70$10.1K
    9921315,34917,39070$60$8.8K
    992047,8848,58030$110$5.6K
    992222,1795,73030$100$5.3K
    992035,3906,15030$70$3.8K
    1104557090$20$3.4K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.20$60$1.4K
    99204The provider sees a new 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 provider…10$70$870
    99203The provider sees a new 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 provider…10$40$520

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.163190190$40$30.4K
    99204The provider sees a new 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 provider…2,4442,80060$80$17.7K
    99203The provider sees a new 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 provider…2,8463,27080$40$11.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanjiv UpadhyayILOtolaryngology Physician$54.7K$356.5K
    Philip MooreILInternal Medicine Physician$338K$47.7K
    NPI 1730184086——$327.2K$0
    Shanita ValentineILNurse Practitioner$270.7K$0
    Sujay BangarulingamILPulmonary Disease Physician$114K$133K
    Jonathan HuangILUrology Physician$173.2K$64K
    Nicole SiparskyILSurgical Critical Care Physician$89K$129.8K
    Laurel PooleILMedical Physician Assistant$186.7K$0
    Ankur PatelILFamily Medicine Physician$102.3K$69K
    Sepehr SaniILNeurological Surgery Physician$155.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connect Hearing IncILHearing Aid Equipment$0$12.9M
    Aunt Martha's Health And Wellness, Inc.ILFederally Qualified Health Center (FQHC)$0$6.4M
    Ali KhanILGeneral Practice Dentistry$0$4.3M
    Imran QureshiILVascular & Interventional Radiology Physician$155K$601.8K
    Javwaud ZafarILVascular & Interventional Radiology Physician$98.9K$442.5K
    Bob ManamILInfectious Disease Physician$197.8K$337K
    John DoumanianILDiagnostic Radiology Physician$91K$260.5K
    Rafay AhmedILDiagnostic Radiology Physician$134K$172.3K
    Rush-copley Surgicenter, LLCILAmbulatory Surgical Clinic/Center$270.4K$0
    Sachin BansalILPhysical Medicine & Rehabilitation Physician$206.2K$28.1K

    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. Illinois Distribution
    Keith Monson — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Keith Monson — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois