PROVIDER PROFILE · NPI 1568556942

Matthew MontoyaMD

Pulmonary DiseaseAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

984

Unique beneficiaries

—

Total services

1,126

Distinct HCPCS

Medicare payment

$33K

Peer benchmark

Total Medicare services vs. 35 Pulmonary Disease providers in NM — above median (cohort median 1,002).

PRESCRIBING · PART D · 2024

Total Rx claims

4,022

Beneficiaries

—

Total drug cost

$1.4M

Distinct drugs

Brand share

82.8%

Top prescribed drugs

Budesonide/Formoterol Fumarate802 claims

Albuterol Sulfate551 claims

Tiotropium Bromide266 claims

Fluticasone/Umeclidin/Vilanter258 claims

Prednisone234 claims

QUALITY · MIPS · 2024

Final MIPS score

88.7

Quality

82.3

Cost

76.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.58%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Matthew Montoya's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 19 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	200	1,112
Bernalillo County Health Care Corporation Ambulance Service Provider · Albuquerque, NM	51	157
Jeremy Logan Diagnostic Radiology · Bend, OR	47	294
PRESBYTERIAN HEALTHCARE SERVICES	41	130
Samuel Southam Diagnostic Radiology · Provo, UT	38	241
Duncan Lill Diagnostic Radiology · Albuquerque, NM	36	170
TRICORE REFERENCE LABORATORIES	35	188
Lara Patriquin Diagnostic Radiology · Albuquerque, NM	34	114
Kathleen Lopez Diagnostic Radiology · Albuquerque, NM	27	115
Vanessa Marin Cardiology · Albuquerque, NM	23	86
Richard Converse Cardiology · Durango, CO	22	67
Craig Jensen Pulmonary Disease · Albuquerque, NM	17	75

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history