Montalvo-Toledo, Lorena

Montalvo-Toledo, Lorena was paid $20K by Medicaid between Aug 2024 and Nov 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 54% of everything it billed.

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
2024incomplete	388	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	54%	157	145	$11K
92002		33%	104	94	$6K
92134		4.7%	34	32	$933.59
92250		4.2%	41	39	$833.80
92015	Determination of refractive state	3.7%	52	49	$733.20

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.