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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Anita Montes (NPI 1912974965)

Field	Value
Entity Type	Individual
Organization	Anita Montes
Address	915 Tate Blvd Se
City	Hickory
State	NC
ZIP	28602
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$7.2K
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
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…	40	$60	$2.3K
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…	20	$90	$1.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	10	$90	$1.2K
99203	The 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…	20	$70	$1K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	20	$20	$320
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	20	$20	$300
87086	Culture, bacterial; quantitative, colony count, urine.	20	$10	$110
81000	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$70

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. North Carolina Distribution

Anita Montes — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	16,163	18,060	110	$80	$15.1K
87086	208	230	40	$10	$13.7K
99213	11,351	16,320	70	$50	$7.1K
99203	4,202	5,450	30	$70	$3.1K
76830	155	250	20	$70	$1.4K
87480	8	20	20	$20	$1.1K
87510	9	20	20	$20	$1K
81000	144	170	40	$1	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uwh Of The Carolinas, PLLC	NC	Obstetrics & Gynecology Physician	$0	$14.9M
Jamie Shutter	NV	Anatomic Pathology & Clinical Pathology Physician	$582.7K	$0
Michelle Simmons	NC	Obstetrics & Gynecology Physician	$314.3K	$0
Jocelyn Clark	NC	Diagnostic Radiology Physician	$146.3K	$0
Jessica Ruhland	NC	Diagnostic Radiology Physician	$129.6K	$0
Emilie Ralston	NC	Diagnostic Radiology Physician	$128.2K	$0
Rachel Mceachern	NC	Diagnostic Radiology Physician	$126.8K	$0
Matthew Plymyer	NC	Anatomic Pathology & Clinical Pathology Physician	$81.5K	$0
Cile Williamson	NC	Obstetrics & Gynecology Physician	$48.6K	$0
Christopher Accetta	SC	Obstetrics & Gynecology Physician	$9.8K	$36.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.4M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M

Anita Montes — Billing Profile & Reimbursement Data

Sign up for Anita Montes — Billing Profile & Reimbursement Data policy alerts

Anita Montes — Billing Profile & Reimbursement Data

Sign up for Anita Montes — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References