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NPI 1891877817 · Sterling, IL · Gastroenterology Physician
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Jorge Monteagudo is a gastroenterology physician provider located in Sterling, Illinois. This profile covers 15 Medicare and 12 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jorge Monteagudo |
| Address | 101 E Miller Rd |
| City | Sterling |
| State | IL |
| ZIP | 61081 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | October 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $169.3K |
| Medicare | $73.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 90 | $120 | $10.8K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 140 | $70 | $9.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $180 | $8.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 50 | $160 | $8.4K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 70 | $90 | $6.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $180 | $6.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 40 | $130 | $4.7K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 70 | $60 | $4.4K |
| 99441 | N/A | 190 | $20 | $4.3K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 50 | $60 | $2.9K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 368 | 640 | 60 | $270 | $23.4K |
| 45380 | 424 | 670 | 50 | $160 | $12.7K |
| 99232 | 7,615 | 7,960 | 90 | $60 | $12.4K |
| G0105 | 69 | 310 | 30 | $260 | $10K |
| 43239 | 109 | 680 | 70 | $110 | $9.6K |
| G0121 | 56 | 250 | 20 | $260 | $7K |
| 43248 | 10 | 50 | 30 | $130 | $6.6K |
| 91110 | 18 | 40 | 20 | $310 | $6.2K |
| 45378 | 13 | 340 | 20 | $180 | $5.1K |
| 45388 | 10 | 10 | 20 | $260 | $4.4K |
Showing 1–10 of 15
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 450 | $160 | $73K |
| 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… | 1,130 | $40 | $40.6K |
| 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… | 650 | $60 | $35.6K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 70 | $110 | $7.8K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 80 | $80 | $6.3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 190 | $10 | $2.5K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 80 | $20 | $1.4K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 20 | $90 | $1.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $20 | $490 |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 170 | $1 | $170 |
Showing 1–10 of 12
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
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 13 | 30 | 50 | $50 | $422.6K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 51 | 300 | 70 | $180 | $50.5K |
| 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… | 4,990 | 14,680 | 300 | $50 | $48.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 18 | 40 | 50 | $200 | $42.3K |
| 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… | 3,424 | 14,190 | 280 | $20 | $38.9K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 4 | 10 | 30 | $150 | $27K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 228 | 480 | 70 | $90 | $24.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 2,536 | 3,330 | 90 | $10 | $7.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,229 | 1,510 | 110 | $1 | $3.5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 95 | 680 | 40 | $10 | $1.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Jorge Monteagudo, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Edward Rick | IL | Pediatric Dentistry | $0 | $2.9M |
| Mir Alikhan | IL | Hematology & Oncology Physician | $101.7K | $192.6K |
| Walgreen Co | IL | Pharmacy | $254K | $0 |
| Mark Moran | IL | Physician Assistant | $120.5K | $0 |
| Young Song | IL | Urology Physician | $66.9K | $1.5K |
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