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

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

Carolina Montes (NPI 1861480980)

Field	Value
Entity Type	Individual
Organization	Carolina Montes
Address	6240 Shiloh Rd
City	Alpharetta
State	GA
ZIP	30005
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	October 12, 2005

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	7,900	$90	$679K
88305	The 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…	5,560	$50	$289.2K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	2,010	$60	$128.3K
88342	The 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,…	280	$80	$21.4K
88341	The 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…	170	$70	$11.5K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	130	$30	$4.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Carolina Montes — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	24	340	650	$40	$73.6K
88312	4	240	70	$70	$34K
88341	144	230	220	$30	$11.4K
88342	48	260	120	$50	$10.5K
88313	7	210	70	$40	$10.2K
88304	40	220	60	$20	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Poplar Healthcare, PLLC	TN	Specialist	$0	$17.5M
Bakotic Pathology Associates, LLC	GA	Clinical Medical Laboratory	$101.5K	$13.3M
Scott Acker	GA	Dermatopathology (Pathology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
Bakotic Pathology Associates, LLC	FL	Clinical Medical Laboratory	$2.1M	$8.3K
Jochen Schaefer	CA	Dermatopathology (Pathology) Physician	$1.5M	$0
Darren Harris	GA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
William Betsill	GA	Clinical Medical Laboratory	$1.3M	$0
Richard Roberts	TN	Anatomic Pathology & Clinical Pathology Physician	$1.3M	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Modify Health Inc	GA	Community Health Worker	$0	$5M
Tots, Inc.	GA	Pediatric Occupational Therapist	$0	$3M
Pain & Spine Physicians Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.9M	$0
John Grimwood	GA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$0
Eli Piatigorsky	GA	Dermatopathology Physician	$1.1M	$0
Wiles Therapy Services Inc	GA	Pediatric Occupational Therapist	$0	$985.5K
Diagnostic Solutions Laboratory, LLC	GA	Clinical Medical Laboratory	$952K	$5.6K
Danelle Wilson	GA	Pediatrics Physician	$0	$879.4K
Katarina Lequeux-nalovic	GA	MOHS-Micrographic Surgery Physician	$863.3K	$0
Kimara Whisenant	GA	Anatomic Pathology Physician	$722.3K	$0

Carolina Montes — Billing Profile & Reimbursement Data

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Carolina Montes — 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