Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Montes Medical, PLLC

Montes Medical, PLLC was paid $23K by Medicaid between Mar 2022 and Aug 2022, across 5 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 31% of everything it billed.

33Billing provider infoMONTES MEDICAL, PLLC
HOUSTON, TX 77079
33aNPI1104342104assigned 08/21/2017
33bProvider typeAdult Medicine Physician
28Total paid$23K
24GClaims2,253
24DCodes billed5
24AFirst – last monthMar 2022 – Aug 2022
Compared with peers

Next to other Adult Medicine Physician providers in Texas

Rank by total paid#7 of 16
Median peer was paid$17K
This provider vs. median1.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20222,253$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 31% 447 226 $7K
99442 30% 610 333 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 248 197 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 340 167 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11% 608 335 $2K

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 officialAJA, LINET (OFFICE MANAGER)