Medicare Enrolled

Dr. James Monica, MD

Orthopaedic Hand Surgery Physician · Somerset, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2 WORLDS FAIR DR, Somerset, NJ 08873
7325370909
Registered in NPPES since 2007
NPI: 1437270907 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Monica from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Monica

Dr. James Monica is an orthopaedic hand surgery physician in Somerset, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Monica performed 1,417 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Monica received a total of $1,805 from 13 pharmaceutical and/or device companies across 44 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Monica is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 46% volume in NJ $1,805 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,417
Medicare services
Top 46% in NJ for orthopaedic hand surgery physician
Not available
Unique patients (not deduplicated)
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
361 $72 $255
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
222 $29 $155
Injection, methylprednisolone acetate, 40 mg 183 $6 $20
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
123 $88 $365
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
104 $99 $368
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
93 $31 $164
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
63 $93 $618
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
50 $36 $183
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
41 $48 $261
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
36 $130 $553
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
35 $371 $6,050
Ultrasound-guided small joint aspiration or injection
This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement.
27 $74 $537
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
27 $28 $145
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
22 $187 $6,497
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
16 $26 $168
Total shoulder joint prosthetic repair
Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function.
14 $1,263 $19,804
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,805
Total received (2018-2024)
Avg $258/year across 7 years
Bottom 37% in NJ for orthopaedic hand surgery physician
13
Companies
44
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$566
2023
$442
2022
$133
2021
$214
2020
$51
2019
$230
2018
$171

Payments by company (2024)

Skeletal Dynamics Inc
$317
Stryker Corporation
$135
DePuy Synthes Sales Inc.
$63
Avanos Medical
$51
Top 3 companies account for 91.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$362
Skeletal Dynamics Inc
$317
Avanos Medical
$291
Smith+Nephew, Inc.
$196
SeaPearl Inc
$145
Integra LifeSciences Corporation
$119
Smith & Nephew, Inc.
$116
DePuy Synthes Sales Inc.
$112
ACUMED LLC
$42
Wright Medical Technology, Inc.
$37
AXOGEN
$33
Globus Medical, Inc.
$18
Pacira Pharmaceuticals Incorporated
$17
Top 3 companies account for 53.7% of all-time payments
Associated products mentioned in payments ›
Acu-Loc Wrist Plating System · Avance Nerve Graft · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BLUEPRINT PSI SYSTEM · Bioinductive Implant with Arthroscopic Delivery System - Medium · Bioraptor Knotless · Exparel · FREEDOM WRIST · GAMMA · Geminus · HEALIX · HEALIX KNOTLESS PEEK · INHANCE · LENS Surgical Imaging System · ON-Q PUMP AND ACCESSORIES · ON-Q* PUMP AND ACCESSORIES · PERFORM GLENOID · Proximal Humerus Strut · Q-Fix · TRAUMA · Velys
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an orthopaedic hand surgery physician in Somerset?
Compare orthopaedic hand surgery physicians in the Somerset area by procedure volume, costs, and industry payment transparency.
Browse orthopaedic hand surgery physicians nearby

Geographic Context

Orthopaedic hand surgery physicians in nearby ZIP areas
21
County median income
$135,960
Nearest hospital to ZIP centroid (approximate)
UNIVERSITY BEHAVIORAL HEALTH CARE
4.6 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Monica is a clinical cardiology specialist, with moderate Medicare volume, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Monica experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Monica performed 361 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Monica receive payments from pharmaceutical companies?
Yes. Dr. Monica received a total of $1,805 from 13 companies across 44 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Monica's costs compare to other orthopaedic hand surgery physicians in Somerset?
Dr. Monica's average Medicare payment per service is $77. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Monica) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →