Active NPI 1548203219 Individual Practitioner Male Practitioner

Dr. Jose A L Monteiro , MD

Internal Medicine • Fall River, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jose Monteiro, MD is a certified Internal Medicine practicing in Fall River, MA. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Monteiro delivers high-quality medical care to the local community at 211 MILLIKEN BLVD.

Dr. Monteiro is affiliated with Jose A L Monteiro Md Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, anticoagulant management of patient taking warfarin, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

211 Milliken Blvd

Fall River, MA 02721

Telephone 5086745200

Fax 5086751719

Associated Practice Facility / Clinic

🏢 Jose A L Monteiro Md Pc Facility NPI 1275581688

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +14.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Monteiro (43 Years) 43 Yrs

Fall River Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	784	276	$148.64	$93.99
93793 Anticoagulant management of patient taking warfarin	585	23	$15.00	$11.88
85610 Blood test, clotting time	551	22	$12.00	$4.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	476	91	$175.00	$81.01
93000 Routine ekg using at least 12 leads including interpretation and report	392	259	$50.00	$14.98
83036 Hemoglobin A1C level	375	216	$15.00	$9.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	198	$185.00	$134.13
82947 Blood glucose (sugar) level	197	87	$15.00	$3.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	191	37	$40.00	$15.15
81003 Automated urinalysis test	173	96	$10.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	171	95	$10.00	$5.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	149	24	$10.00	$1.28
G0008 Administration of influenza virus vaccine	122	118	$45.00	$32.81
99239 Hospital discharge day management, more than 30 minutes	119	81	$225.00	$118.41
82044 Urine microalbumin (protein) analysis	116	61	$15.00	$6.11
90662 Influenza vaccine split virus, preservative free	79	78	$100.00	$80.69
87502 Detection test by nucleic acid for multiple types influenza virus	66	50	$100.00	$93.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	66	50	$100.00	$50.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	50	$250.00	$134.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	45	$50.00	$24.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	27	$200.00	$122.22
80305 Testing for presence of drug, read by direct observation	51	15	$20.00	$12.35
99496 Transitional care management services for problem of high complexity	50	42	$375.00	$296.28
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	48	48	$50.00	$14.24
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	48	48	$75.00	$21.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	32	$100.00	$42.00
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	41	40	$100.00	$8.95
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	40	39	$100.00	$24.70
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	34	16	$50.00	$35.76
95249 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin	31	15	$79.03	$70.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	19	$100.00	$56.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$300.00	$178.12
90653 Vaccine for influenza for injection into muscle	23	23	$95.65	$80.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	22	22	$20.00	$17.07
92553 Test for hearing various pitches using earphone and device placed against the bone	20	17	$68.75	$49.84
82043 Urine microalbumin (protein) level	17	13	$30.00	$5.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$200.00	$138.35
99495 Transitional care management services for problem of at least moderate complexity	13	13	$250.00	$218.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$250.00	$190.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	684	268	$145.00	$91.78
85610 Blood test, clotting time	574	25	$12.00	$4.20
93793 Anticoagulant management of patient taking warfarin	547	25	$15.00	$11.87
83036 Hemoglobin A1C level	437	249	$15.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	414	265	$50.00	$14.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	367	85	$175.00	$80.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	199	$185.00	$131.90
81003 Automated urinalysis test	256	146	$10.00	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	235	40	$40.00	$14.76
82570 Creatinine level to test for kidney function or muscle injury	199	115	$10.00	$5.08
82947 Blood glucose (sugar) level	189	83	$15.00	$3.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	184	28	$10.00	$1.59
82044 Urine microalbumin (protein) analysis	142	76	$15.00	$6.11
G0008 Administration of influenza virus vaccine	119	118	$45.00	$31.47
99239 Hospital discharge day management, more than 30 minutes	98	75	$225.00	$117.32
90662 Influenza vaccine split virus, preservative free	96	96	$82.19	$69.95
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	69	52	$100.00	$50.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	49	$50.00	$24.43
87502 Detection test by nucleic acid for multiple types influenza virus	63	49	$100.00	$93.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	43	$100.00	$39.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	28	$200.00	$121.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	40	$250.00	$132.82
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	36	36	$75.00	$21.55
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	36	36	$50.00	$14.22
G0009 Administration of pneumococcal vaccine	32	31	$50.00	$31.47
99496 Transitional care management services for problem of high complexity	26	24	$375.00	$283.73
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	22	$45.00	$20.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	16	$100.00	$54.37
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$350.00	$281.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$300.00	$177.27
92553 Test for hearing various pitches using earphone and device placed against the bone	21	18	$51.19	$46.53
99495 Transitional care management services for problem of at least moderate complexity	18	17	$250.00	$212.11
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	17	17	$100.00	$24.62
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	17	17	$100.00	$8.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$250.00	$185.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$200.00	$134.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$140.00	$130.80
94664 Evaluation of use of breathing device	12	12	$40.00	$18.20
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$85.00	$37.53
90471 Administration of 1 vaccine	11	11	$45.00	$21.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	740	336	$15.00	$9.60
36415 Insertion of needle into vein for collection of blood sample	649	402	$10.00	$2.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	642	113	$75.00	$66.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	615	305	$185.00	$134.77
93793 Anticoagulant management of patient taking warfarin	523	31	$15.00	$11.86
81003 Automated urinalysis test	516	325	$10.00	$2.22
85610 Blood test, clotting time	508	30	$12.00	$4.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	488	92	$175.00	$73.44
82570 Creatinine level to test for kidney function or muscle injury	472	310	$10.00	$5.12
93000 Routine ekg using at least 12 leads including interpretation and report	445	317	$50.00	$15.11
99213 Established patient office or other outpatient visit, typically 15 minutes	434	248	$145.00	$91.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	368	256	$15.00	$7.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	237	49	$40.00	$15.19
82947 Blood glucose (sugar) level	199	108	$15.00	$3.89
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	181	35	$10.00	$1.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	55	$200.00	$105.48
99239 Hospital discharge day management, more than 30 minutes	143	94	$225.00	$108.85
G0008 Administration of influenza virus vaccine	137	137	$45.00	$30.81
82044 Urine microalbumin (protein) analysis	126	109	$15.00	$6.17
90662 Influenza vaccine split virus, preservative free	97	97	$70.00	$68.54
99358 Prolonged patient service without direct patient contact first hour	79	41	$140.00	$114.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	70	$50.00	$24.56
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	75	61	$100.00	$50.73
80053 Blood test, comprehensive group of blood chemicals	74	70	$15.00	$10.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	47	$250.00	$139.08
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	62	61	$75.00	$22.54
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	62	61	$50.00	$15.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	35	$100.00	$43.13
80061 Blood test, lipids (cholesterol and triglycerides)	42	41	$40.00	$13.26
99496 Transitional care management services for problem of high complexity	38	36	$375.00	$286.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	37	37	$45.00	$20.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	30	$300.00	$204.15
82550 Creatine kinase (cardiac enzyme) level, total	34	34	$15.00	$6.44
83735 Magnesium level	27	26	$15.00	$6.63
77085 Bone density measurement using dedicated x-ray machine	25	25	$125.00	$55.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$250.00	$188.27
84443 Blood test, thyroid stimulating hormone (TSH)	21	19	$30.00	$16.63
94375 Diagnostic testing in a pulmonary function lab	21	20	$60.00	$41.25
84550 Uric acid level, blood	20	20	$15.00	$4.47
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	20	20	$30.00	$15.92
82270 Stool analysis for blood to screen for colon tumors	19	19	$20.00	$4.33
94664 Evaluation of use of breathing device	19	15	$40.00	$18.34
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$100.00	$94.67
99495 Transitional care management services for problem of at least moderate complexity	15	15	$250.00	$217.73
82728 Ferritin (blood protein) level	15	13	$15.00	$13.56
80048 Blood test, basic group of blood chemicals (calcium, total)	12	11	$15.00	$8.38
83540 Iron level	11	11	$15.00	$6.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$200.00	$138.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,302	563	$10.00	$3.00
83036 Hemoglobin A1C level	1,143	443	$15.00	$9.70
82570 Creatinine level to test for kidney function or muscle injury	1,008	510	$10.00	$5.18
81003 Automated urinalysis test	1,006	508	$10.00	$2.25
93793 Anticoagulant management of patient taking warfarin	689	45	$15.00	$11.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	675	304	$185.00	$134.59
93000 Routine ekg using at least 12 leads including interpretation and report	642	430	$50.00	$15.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	631	371	$15.00	$7.77
85610 Blood test, clotting time	568	42	$12.00	$4.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	439	44	$75.00	$42.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	414	103	$175.00	$73.65
80053 Blood test, comprehensive group of blood chemicals	375	320	$15.00	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	299	273	$40.00	$13.39
82044 Urine microalbumin (protein) analysis	283	186	$15.00	$6.23
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	272	179	$15.00	$6.47
82550 Creatine kinase (cardiac enzyme) level, total	270	243	$15.00	$6.51
83735 Magnesium level	260	224	$15.00	$6.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	253	44	$40.00	$14.89
99213 Established patient office or other outpatient visit, typically 15 minutes	247	163	$145.00	$89.39
84550 Uric acid level, blood	242	214	$15.00	$4.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	201	30	$10.00	$1.98
82947 Blood glucose (sugar) level	178	100	$15.00	$3.93
99358 Prolonged patient service without direct patient contact first hour	148	70	$140.00	$114.76
99239 Hospital discharge day management, more than 30 minutes	134	91	$225.00	$108.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	125	99	$50.00	$23.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	41	$200.00	$106.07
G0008 Administration of influenza virus vaccine	86	86	$45.00	$17.86
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	86	71	$100.00	$51.31
83540 Iron level	77	64	$15.00	$6.47
90662 Influenza vaccine split virus, preservative free	75	75	$70.00	$65.26
82728 Ferritin (blood protein) level	74	63	$15.00	$13.63
80305 Testing for presence of drug, read by direct observation	71	19	$20.00	$12.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	45	$250.00	$139.59
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	56	56	$50.00	$15.11
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	56	56	$75.00	$22.62
80048 Blood test, basic group of blood chemicals (calcium, total)	46	39	$15.00	$8.46
82270 Stool analysis for blood to screen for colon tumors	42	42	$20.00	$4.38
83550 Iron binding capacity	41	13	$15.00	$8.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$300.00	$205.65
77085 Bone density measurement using dedicated x-ray machine	29	29	$125.00	$56.12
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	28	26	$30.00	$15.92
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	27	27	$100.00	$25.87
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	27	27	$100.00	$9.55
94375 Diagnostic testing in a pulmonary function lab	25	20	$60.00	$41.30
84100 Phosphate level	24	23	$15.00	$4.74
99225 Subsequent observation care, typically 25 minutes per day	24	17	$150.00	$73.80
85379 Coagulation function measurement, d-dimer; quantitative	20	20	$20.00	$10.18
99496 Transitional care management services for problem of high complexity	18	16	$365.28	$272.29
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$150.00	$74.97
83880 Natriuretic peptide (heart and blood vessel protein) level	16	14	$40.00	$39.26
83014 Administration of drug for helicobacter pylori	15	14	$30.00	$7.86
83013 Breath test analysis for helicobacter pylori	15	14	$150.00	$67.36
94664 Evaluation of use of breathing device	14	14	$40.00	$18.06
99495 Transitional care management services for problem of at least moderate complexity	13	13	$250.00	$215.95
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	13	13	$90.00	$53.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$200.00	$138.45
99219 Hospital observation care, typically 50 minutes	12	12	$250.00	$137.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$40.00	$29.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,809	624	$10.00	$2.98
81003 Automated urinalysis test	1,316	562	$10.00	$2.23
82570 Creatinine level to test for kidney function or muscle injury	1,316	562	$14.13	$5.15
80053 Blood test, comprehensive group of blood chemicals	1,227	582	$23.59	$10.49
83036 Hemoglobin A1C level	1,052	434	$19.03	$9.65
80061 Blood test, lipids (cholesterol and triglycerides)	879	525	$39.91	$13.29
83735 Magnesium level	867	460	$14.99	$6.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	847	416	$35.73	$7.72
93793 Anticoagulant management of patient taking warfarin	834	58	$15.00	$12.39
82550 Creatine kinase (cardiac enzyme) level, total	807	489	$19.25	$6.46
84550 Uric acid level, blood	758	428	$23.40	$4.49
85610 Blood test, clotting time	677	56	$12.00	$4.22
93000 Routine ekg using at least 12 leads including interpretation and report	654	436	$50.00	$18.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	649	295	$185.00	$113.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	537	54	$75.00	$43.92
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	373	211	$23.61	$6.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	349	108	$175.00	$76.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	303	57	$40.00	$15.09
82044 Urine microalbumin (protein) analysis	297	197	$19.11	$6.20
83540 Iron level	233	152	$28.00	$6.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	232	36	$10.00	$2.00
82728 Ferritin (blood protein) level	225	150	$28.20	$13.54
99358 Prolonged patient service without direct patient contact first hour	195	94	$140.00	$117.36
99239 Hospital discharge day management, more than 30 minutes	160	108	$225.00	$112.73
G0008 Administration of influenza virus vaccine	156	154	$45.00	$17.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	65	$200.00	$109.39
80048 Blood test, basic group of blood chemicals (calcium, total)	144	105	$19.48	$8.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	140	103	$50.00	$24.68
94375 Diagnostic testing in a pulmonary function lab	112	69	$60.00	$41.49
80305 Testing for presence of drug, read by direct observation	103	24	$20.00	$12.53
84100 Phosphate level	93	76	$15.00	$4.72
99213 Established patient office or other outpatient visit, typically 15 minutes	89	67	$145.00	$76.23
90662 Influenza vaccine split virus, preservative free	88	85	$70.00	$60.70
82270 Stool analysis for blood to screen for colon tumors	74	74	$20.00	$4.36
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	74	73	$40.00	$29.19
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	66	64	$75.00	$23.44
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	66	64	$50.00	$15.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	48	$250.00	$144.86
83880 Natriuretic peptide (heart and blood vessel protein) level	59	35	$47.20	$38.25
85379 Coagulation function measurement, d-dimer; quantitative	49	42	$28.88	$10.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	23	$30.00	$16.22
G0009 Administration of pneumococcal vaccine	40	39	$50.00	$17.67
83550 Iron binding capacity	39	15	$15.38	$8.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	34	$300.00	$212.94
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	38	30	$90.00	$53.64
83014 Administration of drug for helicobacter pylori	34	31	$30.00	$7.79
83013 Breath test analysis for helicobacter pylori	34	31	$150.00	$66.80
90471 Administration of 1 vaccine	32	30	$45.00	$15.09
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	31	31	$150.00	$74.79
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	31	30	$85.00	$33.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	17	$60.00	$43.60
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$140.00	$118.00
90670 Pneumococcal vaccine for injection into muscle	22	21	$250.00	$222.94
94664 Evaluation of use of breathing device	21	21	$40.00	$17.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	12	$125.00	$72.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$100.00	$56.69
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	16	16	$100.00	$26.95
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	16	16	$100.00	$9.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$200.00	$122.44
82248 Bilirubin level, direct	15	12	$15.00	$4.98
82962 Blood glucose (sugar) test performed by hand-held instrument	15	15	$44.00	$3.28
77085 Bone density measurement using dedicated x-ray machine	15	15	$125.00	$56.57
99225 Subsequent observation care, typically 25 minutes per day	15	11	$150.00	$76.06
99496 Transitional care management services for problem of high complexity	14	14	$350.00	$258.17
94640 Inhalation treatment for airway obstruction or sputum production	14	14	$50.00	$19.08
99217 Hospital observation care on day of discharge	12	12	$200.00	$76.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,528	628	$10.00	$2.94
82570 Creatinine level to test for kidney function or muscle injury	1,157	564	$15.00	$5.63
81003 Automated urinalysis test	1,155	564	$10.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,084	427	$185.00	$113.22
83036 Hemoglobin A1C level	1,066	444	$20.00	$10.57
80053 Blood test, comprehensive group of blood chemicals	992	549	$25.00	$11.51
80061 Blood test, lipids (cholesterol and triglycerides)	749	488	$40.00	$14.58
93000 Routine ekg using at least 12 leads including interpretation and report	749	518	$50.00	$17.93
83735 Magnesium level	741	435	$15.00	$7.29
93793 Anticoagulant management of patient taking warfarin	736	62	$15.00	$12.60
82550 Creatine kinase (cardiac enzyme) level, total	678	449	$20.00	$7.09
84550 Uric acid level, blood	644	408	$25.00	$4.92
85610 Blood test, clotting time	634	67	$12.00	$4.27
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	618	71	$75.00	$43.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	553	363	$40.00	$8.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	391	113	$175.00	$75.33
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	336	212	$25.00	$7.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	334	68	$40.00	$17.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	290	49	$10.00	$1.79
82044 Urine microalbumin (protein) analysis	245	189	$20.00	$6.11
83540 Iron level	199	137	$30.00	$7.05
82728 Ferritin (blood protein) level	186	132	$30.00	$14.85
G0008 Administration of influenza virus vaccine	162	153	$45.00	$17.42
99358 Prolonged patient service without direct patient contact first hour	158	74	$140.00	$115.94
99213 Established patient office or other outpatient visit, typically 15 minutes	157	116	$145.00	$77.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	64	$200.00	$107.68
80048 Blood test, basic group of blood chemicals (calcium, total)	149	117	$20.00	$9.21
77085 Bone density measurement using dedicated x-ray machine	146	146	$125.00	$57.72
99239 Hospital discharge day management, more than 30 minutes	141	94	$225.00	$111.23
94375 Diagnostic testing in a pulmonary function lab	134	99	$60.00	$41.99
90662 Influenza vaccine split virus, preservative free	129	123	$69.77	$54.75
G0009 Administration of pneumococcal vaccine	113	113	$50.00	$17.42
82270 Stool analysis for blood to screen for colon tumors	113	113	$20.00	$4.29
84100 Phosphate level	99	87	$15.00	$5.16
80305 Testing for presence of drug, read by direct observation	95	30	$20.00	$12.35
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	77	77	$50.00	$15.43
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	77	77	$75.00	$23.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	70	70	$140.00	$111.02
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	65	65	$83.00	$32.10
90471 Administration of 1 vaccine	64	64	$45.00	$17.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	62	62	$250.00	$144.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	47	$250.00	$141.98
90670 Pneumococcal vaccine for injection into muscle	59	59	$250.00	$208.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	57	17	$125.00	$71.67
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	26	$26.96	$16.22
94664 Evaluation of use of breathing device	53	44	$40.00	$18.23
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	51	38	$90.00	$58.25
83880 Natriuretic peptide (heart and blood vessel protein) level	44	31	$50.00	$38.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	35	$50.00	$24.02
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	36	36	$30.00	$17.32
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	35	35	$40.00	$26.54
94060 Test to measure expiratory airflow and volume changes before and after medication administration	33	29	$100.00	$63.32
94640 Inhalation treatment for airway obstruction or sputum production	30	26	$50.00	$19.40
83013 Breath test analysis for helicobacter pylori	28	27	$150.00	$73.34
83014 Administration of drug for helicobacter pylori	28	27	$30.00	$8.56
85379 Coagulation function measurement, d-dimer; quantitative	25	24	$30.00	$11.08
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	25	25	$150.00	$75.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$300.00	$209.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	19	$210.00	$135.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	17	$60.00	$43.32
99496 Transitional care management services for problem of high complexity	20	17	$350.00	$241.91
99225 Subsequent observation care, typically 25 minutes per day	20	14	$150.00	$75.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$200.00	$121.30
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$20.00	$15.45
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	15	$23.44	$16.20
83550 Iron binding capacity	15	14	$20.00	$9.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$230.00	$178.63
51798 Ultrasound measurement of bladder capacity after voiding	12	11	$50.00	$13.69
99219 Hospital observation care, typically 50 minutes	11	11	$250.00	$140.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,735	673	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,386	632	$25.04	$12.78
81003 Automated urinalysis test	1,292	602	$10.25	$2.71
82570 Creatinine level to test for kidney function or muscle injury	1,289	601	$15.25	$6.26
83036 Hemoglobin A1C level	1,233	473	$20.00	$11.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,150	495	$185.00	$111.74
80061 Blood test, lipids (cholesterol and triglycerides)	1,099	590	$40.00	$16.17
85610 Blood test, clotting time	1,015	85	$12.00	$4.75
82550 Creatine kinase (cardiac enzyme) level, total	1,001	551	$20.00	$7.88
83735 Magnesium level	998	513	$15.00	$8.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	884	494	$32.73	$9.38
84550 Uric acid level, blood	882	476	$25.84	$5.46
93000 Routine ekg using at least 12 leads including interpretation and report	791	568	$50.00	$17.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	500	123	$157.30	$75.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	392	82	$75.00	$44.08
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	333	225	$25.41	$7.82
82044 Urine microalbumin (protein) analysis	333	233	$20.00	$6.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	331	54	$36.99	$21.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	319	45	$10.00	$1.95
82728 Ferritin (blood protein) level	302	194	$30.30	$16.49
G0008 Administration of influenza virus vaccine	217	207	$45.00	$21.55
93793 Anticoagulant management of patient taking warfarin	176	45	$15.00	$12.55
99239 Hospital discharge day management, more than 30 minutes	171	106	$215.88	$112.09
99213 Established patient office or other outpatient visit, typically 15 minutes	150	110	$145.00	$76.10
84100 Phosphate level	147	117	$15.00	$5.73
80048 Blood test, basic group of blood chemicals (calcium, total)	137	106	$20.00	$10.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	134	132	$40.00	$23.57
82270 Stool analysis for blood to screen for colon tumors	130	130	$18.04	$4.29
99358 Prolonged patient service without direct patient contact first hour	128	52	$139.45	$115.99
83540 Iron level	117	97	$30.00	$7.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	111	28	$125.00	$72.30
80305 Testing for presence of drug, read by direct observation	108	34	$20.00	$13.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	50	$196.94	$108.16
77085 Bone density measurement using dedicated x-ray machine	97	97	$125.00	$60.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	75	$240.46	$142.01
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	96	95	$250.00	$148.75
94375 Diagnostic testing in a pulmonary function lab	91	74	$59.89	$42.21
90662 Influenza vaccine split virus, preservative free	87	86	$60.46	$52.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	82	55	$100.00	$56.41
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	69	68	$50.00	$15.39
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	69	68	$75.00	$22.77
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	57	55	$30.00	$19.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	51	32	$60.00	$43.95
G0009 Administration of pneumococcal vaccine	50	50	$50.00	$21.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	49	23	$23.88	$16.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	33	$210.00	$135.56
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	39	39	$75.00	$31.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	39	39	$100.00	$64.64
94664 Evaluation of use of breathing device	39	36	$36.03	$18.53
90471 Administration of 1 vaccine	39	39	$45.00	$21.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	34	$50.00	$22.82
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	33	28	$89.70	$70.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$140.00	$105.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	13	$117.97	$40.68
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	32	32	$150.00	$75.23
83014 Administration of drug for helicobacter pylori	29	27	$30.00	$9.51
83013 Breath test analysis for helicobacter pylori	29	27	$150.00	$81.50
83880 Natriuretic peptide (heart and blood vessel protein) level	22	17	$46.82	$40.47
82248 Bilirubin level, direct	22	19	$15.00	$6.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	19	$300.00	$210.47
94640 Inhalation treatment for airway obstruction or sputum production	22	20	$50.00	$20.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$200.00	$122.09
90670 Pneumococcal vaccine for injection into muscle	18	18	$240.28	$200.33
51798 Ultrasound measurement of bladder capacity after voiding	17	16	$50.00	$17.03
93225 Electrocardiogram (ecg) 2-day continuous	17	16	$75.00	$21.26
93226 Electrocardiogram (ecg) 2-day continuous with report	17	16	$100.00	$39.85
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$20.00	$16.20
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	14	$100.00	$27.86
95012 Test to measure the level of nitric oxide gas	15	15	$29.33	$21.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$20.00	$15.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$230.00	$179.26
99225 Subsequent observation care, typically 25 minutes per day	13	11	$142.31	$75.91
80076 Liver function blood test panel	13	12	$20.00	$9.89
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	13	13	$75.00	$39.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$210.00	$151.99
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	13	13	$75.00	$46.80
99496 Transitional care management services for problem of high complexity	12	12	$350.00	$243.21
85379 Coagulation function measurement, d-dimer; quantitative	11	11	$30.00	$12.31
99219 Hospital observation care, typically 50 minutes	11	11	$240.91	$141.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,680	683	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,598	601	$185.00	$106.70
81003 Automated urinalysis test	1,369	633	$15.00	$3.02
82570 Creatinine level to test for kidney function or muscle injury	1,367	633	$20.00	$6.96
80053 Blood test, comprehensive group of blood chemicals	1,270	652	$25.03	$7.34
83036 Hemoglobin A1C level	1,232	478	$20.00	$13.05
80061 Blood test, lipids (cholesterol and triglycerides)	1,083	610	$40.04	$10.12
85610 Blood test, clotting time	997	101	$12.00	$5.28
83735 Magnesium level	943	491	$15.00	$9.01
82550 Creatine kinase (cardiac enzyme) level, total	894	520	$20.00	$4.65
84550 Uric acid level, blood	878	485	$30.00	$6.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	753	456	$30.00	$10.44
93000 Routine ekg using at least 12 leads including interpretation and report	640	496	$50.00	$17.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	545	128	$125.00	$71.18
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	466	309	$30.00	$8.69
82044 Urine microalbumin (protein) analysis	354	232	$20.00	$6.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	296	48	$35.00	$25.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	270	38	$10.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	263	195	$145.00	$72.84
G0008 Administration of influenza virus vaccine	262	258	$45.00	$26.66
84100 Phosphate level	262	185	$15.00	$3.21
82728 Ferritin (blood protein) level	252	176	$35.00	$18.33
83540 Iron level	234	166	$30.00	$8.70
80048 Blood test, basic group of blood chemicals (calcium, total)	208	149	$20.00	$7.56
99239 Hospital discharge day management, more than 30 minutes	180	116	$188.00	$106.46
80305 Testing for presence of drug, read by direct observation	170	45	$20.00	$11.60
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	168	168	$40.00	$23.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	93	27	$125.00	$68.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	92	71	$212.50	$134.93
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	80	76	$75.00	$41.99
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	75	74	$50.00	$14.72
77085 Bone density measurement using dedicated x-ray machine	75	75	$125.00	$56.92
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	75	74	$75.00	$22.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	64	$77.46	$20.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	63	47	$100.00	$53.81
82270 Stool analysis for blood to screen for colon tumors	62	62	$14.92	$4.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	29	$175.00	$102.84
G0009 Administration of pneumococcal vaccine	56	56	$50.00	$26.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	38	$210.00	$128.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	34	$60.00	$41.57
90662 Influenza vaccine split virus, preservative free	48	48	$54.17	$46.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	43	42	$100.00	$62.39
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	41	41	$30.00	$16.70
90670 Pneumococcal vaccine for injection into muscle	37	37	$215.54	$186.34
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	34	28	$20.00	$14.23
80076 Liver function blood test panel	32	29	$20.00	$6.70
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	32	30	$30.00	$19.92
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	31	$199.69	$168.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	15	$25.00	$15.40
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	27	20	$90.00	$54.16
99496 Transitional care management services for problem of high complexity	24	23	$350.00	$230.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$200.00	$115.01
82248 Bilirubin level, direct	23	21	$15.00	$4.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$210.00	$138.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$119.50	$96.87
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$20.00	$15.40
99495 Transitional care management services for problem of at least moderate complexity	18	18	$250.00	$163.06
99225 Subsequent observation care, typically 25 minutes per day	17	15	$125.00	$72.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$300.00	$199.66
83013 Breath test analysis for helicobacter pylori	16	16	$150.00	$90.55
83014 Administration of drug for helicobacter pylori	16	16	$30.00	$10.56
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	16	16	$150.00	$77.48
93225 Electrocardiogram (ecg) 2-day continuous	14	14	$75.00	$20.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$230.00	$169.34
93226 Electrocardiogram (ecg) 2-day continuous with report	14	14	$100.00	$38.80
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$185.00	$99.68
99238 Hospital discharge day management, 30 minutes or less	13	11	$150.00	$71.78
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$75.00	$30.39
83550 Iron binding capacity	12	12	$20.00	$11.75
90471 Administration of 1 vaccine	12	12	$45.00	$25.81
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	11	11	$197.73	$161.40
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	11	11	$50.00	$43.28
94640 Inhalation treatment for airway obstruction or sputum production	11	11	$50.00	$18.93

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 74949

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9784888 (MA)

Hospital & Practice Group Affiliations

Jose A L Monteiro Md Pc

211 Milliken Blvd, Fall River, MA 027211609

Phone: 5086745200230

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Melanie Cardoza , DO

Internal Medicine

NPI 1427007921

Doctor of Osteopathic Medicine (D.O.)

Erica Botelho , ANP

Nurse Practitioner - Adult Health

NPI 1619487089

Adult Nurse Practitioner

Erika Rebello , CNP

Nurse Practitioner - Adult Health

NPI 1710521315

Certified Nurse Practitioner

Candida Lopes , ANP-BC

Nurse Practitioner - Adult Health

NPI 1972855195

ANPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2015

Registered at 211 MILLIKEN BLVD, FALL RIVER, MA 02721 (Tel: 5086745200)

📍

Updated Business Mailing Address March 21, 2015

Registered at 211 MILLIKEN BLVD, FALL RIVER, MA 02721 (Tel: 5086745200)

👤

Provider Name / Credentials Updated March 21, 2015

Recorded as JOSE MONTEIRO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2015

Internal Medicine (License #74949 in MA)

🟢

Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548203219

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2006

Last Update: March 21, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Milliken Blvd

Fall River, MA 02721

Phone: 5086745200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.