Physician
Baez Montalvo, Edwin
Baez Montalvo, Edwin was paid $641K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 77% of everything it billed.
33Billing provider infoBAEZ MONTALVO, EDWIN
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1194794255assigned 03/14/2006
33bProvider typeObstetrics Physician
28Total paid$641K
24GClaims43,657
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Puerto Rico
Rank by total paid#1 of 17
Median peer was paid$163K
This provider vs. median3.9×
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 | 5,413 | $47K | |
| 2019 | 5,897 | $66K | |
| 2020 | 5,254 | $68K | |
| 2021 | 6,573 | $105K | |
| 2022 | 6,338 | $86K | |
| 2023 | 5,572 | $98K | |
| 2024incomplete | 8,610 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 77% | 30,986 | 20,110 | $497K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.7% | 2,659 | 2,296 | $49K |
| 57454 | 5.5% | 690 | 653 | $35K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 3.9% | 5,382 | 5,119 | $25K |
| 99201 | 3.3% | 2,123 | 2,005 | $21K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 88 | 44 | $5K |
| 57511 | <1% | 187 | 184 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 23 | 14 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 41 | 27 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 819 | 411 | $810.96 |
| 99441 | <1% | 44 | 37 | $465.60 | |
| 99459 | <1% | 579 | 271 | $282.54 |
1 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 36 | $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.