What is Matthew Montoya's specialty?

Matthew Montoya (NPI 1568556942) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Albuquerque, NM.

Where does Matthew Montoya practice?

Matthew Montoya practices in Albuquerque, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1568556942.

How much does Medicare pay Matthew Montoya?

Matthew Montoya (NPI 1568556942) received approximately $33K in total Medicare Part B payments, serving 569 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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 · 2025

No data available for this provider in 2025.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events