Physician
Montes Medical Group INC
Montes Medical Group INC was paid $203K by Medicaid between Jan 2018 and Aug 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoMONTES MEDICAL GROUP INC
INGLEWOOD, CA 90301
INGLEWOOD, CA 90301
33aNPI1093809592assigned 10/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$203K
24GClaims102,966
24DCodes billed63
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#440 of 2,679
Median peer was paid$13K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,261 | $51K | |
| 2019 | 22,128 | $55K | |
| 2020 | 16,687 | $32K | |
| 2021 | 17,057 | $33K | |
| 2022 | 10,971 | $15K | |
| 2023 | 11,005 | $13K | |
| 2024incomplete | 5,857 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 10,644 | 10,145 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16% | 947 | 939 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,004 | 992 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 1,052 | 983 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 7,161 | 3,994 | $13K |
| 90686 | 6.4% | 2,356 | 2,315 | $13K | |
| 92552 | 6.3% | 1,948 | 1,939 | $13K | |
| 92551 | 5.0% | 1,264 | 1,248 | $10K | |
| 99460 | 4.8% | 153 | 153 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 367 | 310 | $8K |
| 85018 | 3.0% | 4,951 | 4,801 | $6K | |
| 90651 | 1.7% | 165 | 163 | $3K |
51 more codes
| 99173 | 1.1% | 3,311 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 330 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $1K |
| 90670 | <1% | 467 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 292 | $1K |
| 90648 | <1% | 446 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 655 | $1K |
| 81002 | <1% | 879 | $694.99 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 399 | $615.90 |
| 99000 | <1% | 3,002 | $571.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 975 | $488.12 |
| 90723 | <1% | 207 | $358.75 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,102 | $320.58 |
| 92081 | <1% | 681 | $316.38 | |
| 90734 | <1% | 85 | $270.00 | |
| 90680 | <1% | 138 | $250.75 | |
| 82962 | <1% | 1,818 | $186.19 | |
| 90633 | <1% | 56 | $153.00 | |
| 90710 | <1% | 48 | $81.00 | |
| 90715 | <1% | 13 | $81.00 | |
| 3008F | <1% | 14,388 | $80.27 | |
| 3074F | <1% | 9,218 | $80.19 | |
| 3075F | <1% | 1,880 | $80.01 | |
| 90697 | <1% | 13 | $63.00 | |
| 90688 | <1% | 39 | $44.60 | |
| 99442 | <1% | 115 | $38.86 | |
| 90620 | <1% | 24 | $27.00 | |
| 3079F | <1% | 2,924 | $20.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,518 | $0.25 |
| 3078F | <1% | 9,153 | $0.19 | |
| 3077F | <1% | 1,507 | $0.02 | |
| G8482 | Influenza immunization administered or previously received | <1% | 448 | $0.01 |
| 3725F | <1% | 2,019 | $0.01 | |
| 1036F | 0% | 2,256 | $0.00 | |
| 97802 | 0% | 105 | $0.00 | |
| 99441 | 0% | 572 | $0.00 | |
| 3080F | 0% | 313 | $0.00 | |
| 85032 | 0% | 65 | $0.00 | |
| 99462 | 0% | 180 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 105 | $0.00 |
| 99172 | 0% | 37 | $0.00 | |
| 81000 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 105 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 147 | $0.00 |
| 99401 | 0% | 105 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 539 | $0.00 |
| 1160F | 0% | 2,075 | $0.00 | |
| 1159F | 0% | 2,013 | $0.00 | |
| 81025 | 0% | 40 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 28 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 26 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONTES, JUAN (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Montes Medical Group INC | Whittier, CA | $936K |
| Montes Medical Group INC | Los Angeles, CA | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.