Physician
Montalvo, Romeo
Montalvo, Romeo was paid $2.65M by Medicaid between Feb 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoMONTALVO, ROMEO
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
33aNPI1346203502assigned 04/10/2006
33bProvider typePediatrics Physician
28Total paid$2.65M
24GClaims113,689
24DCodes billed53
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#179 of 1,136
Median peer was paid$329K
This provider vs. median8.1×
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 | 53 | $2K | |
| 2019 | 124 | $3K | |
| 2020 | 4,382 | $90K | |
| 2021 | 23,606 | $538K | |
| 2022 | 29,430 | $647K | |
| 2023 | 29,886 | $705K | |
| 2024incomplete | 26,208 | $668K |
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 | 29% | 21,532 | 17,231 | $773K |
| 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 | 14% | 7,389 | 6,611 | $376K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 3,863 | 2,914 | $251K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 2,941 | 2,766 | $214K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 2,917 | 2,130 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 16,668 | 8,989 | $173K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.4% | 11,249 | 5,019 | $144K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 1,902 | 1,844 | $138K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.4% | 2,891 | 2,621 | $118K |
| 92550 | 2.2% | 3,456 | 3,158 | $59K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 4,178 | 3,820 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,967 | 2,138 | $22K |
41 more codes
| 87807 | <1% | 1,779 | $18K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,163 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,583 | $16K |
| 90461 | <1% | 3,446 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 246 | $14K |
| 99374 | <1% | 241 | $13K | |
| 97169 | <1% | 802 | $10K | |
| 90619 | <1% | 365 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 140 | $8K |
| 90677 | <1% | 183 | $5K | |
| 99381 | <1% | 55 | $4K | |
| 96160 | <1% | 2,016 | $4K | |
| 90686 | <1% | 4,759 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $2K |
| 86580 | <1% | 225 | $2K | |
| 81002 | <1% | 270 | $753.36 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 16 | $619.32 |
| 80061 | Lipid panel | <1% | 57 | $461.25 |
| 90651 | <1% | 406 | $288.53 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,586 | $180.00 |
| 82950 | <1% | 58 | $167.58 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 24 | $165.02 |
| 90744 | 0% | 410 | $0.00 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 108 | $0.00 |
| 90698 | 0% | 945 | $0.00 | |
| 90680 | 0% | 986 | $0.00 | |
| 90697 | 0% | 209 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 581 | $0.00 |
| 90620 | 0% | 461 | $0.00 | |
| 90696 | 0% | 99 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90670 | 0% | 1,211 | $0.00 | |
| 90633 | 0% | 677 | $0.00 | |
| 90700 | 0% | 71 | $0.00 | |
| 90671 | 0% | 201 | $0.00 | |
| 90710 | 0% | 122 | $0.00 | |
| 90648 | 0% | 30 | $0.00 | |
| 90734 | 0% | 31 | $0.00 | |
| 90715 | 0% | 38 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 22 | $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.