Managed care
Centros Medicos Integrados De LA Montana
Centros Medicos Integrados De LA Montana was paid $1K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoCENTROS MEDICOS INTEGRADOS DE LA MONTANA
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1235346461assigned 05/17/2007
33bProvider typeHealth Maintenance Organization
28Total paid$1K
24GClaims10,141
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#28 of 37
Median peer was paid$25K
This provider vs. median0.1×
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 | 4,866 | $0.00 | |
| 2019 | 1,770 | $0.00 | |
| 2020 | 413 | $1K | |
| 2021 | 267 | $30.47 | |
| 2022 | 127 | $119.91 | |
| 2023 | 549 | $0.00 | |
| 2024incomplete | 2,149 | $0.00 |
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 | 72% | 1,708 | 1,431 | $937.73 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.4% | 190 | 154 | $122.88 |
| 99441 | 9.2% | 863 | 534 | $119.91 | |
| 99442 | 8.0% | 187 | 144 | $105.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.5% | 186 | 57 | $19.58 |
| 1125F | 0% | 161 | 132 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 514 | 436 | $0.00 |
| 3074F | 0% | 566 | 459 | $0.00 | |
| 3008F | 0% | 973 | 772 | $0.00 | |
| 3079F | 0% | 295 | 250 | $0.00 | |
| 1170F | 0% | 264 | 178 | $0.00 | |
| 1126F | 0% | 803 | 647 | $0.00 |
15 more codes
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 officialVARGAS, DIEGO (PRESIDENTE)