Montalvo, Luis

Montalvo, Luis was paid $3.52M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 48% of everything it billed.

33Billing provider infoMONTALVO, LUIS
ARECIBO, PR 00612

33aNPI1376639575assigned 10/05/2006

33bProvider typeOphthalmology Physician

28Total paid$3.52M

24GClaims56,987

24DCodes billed23

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#4 of 141

Median peer was paid$163K

This provider vs. median22×

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	6,789	$469K
2019	6,104	$362K
2020	6,191	$388K
2021	11,034	$648K
2022	9,480	$521K
2023	9,748	$604K
2024incomplete	7,641	$533K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	48%	2,225	2,102	$1.68M
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	22%	15,757	14,434	$764K
92002		11%	8,895	8,446	$405K
76519		4.5%	1,716	1,634	$160K
92015	Determination of refractive state	4.4%	8,212	7,789	$156K
92250		4.1%	6,937	6,509	$145K
92083		1.6%	1,579	1,509	$58K
92133		1.2%	1,958	1,842	$41K
92134		<1%	1,311	1,136	$33K
66821		<1%	145	141	$31K
65426		<1%	39	39	$16K
92226		<1%	756	575	$9K

11 more codes

92225		<1%	547	$9K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	75	$7K
92202		<1%	518	$4K
76514		<1%	317	$2K
65222		<1%	38	$2K
83861		<1%	57	$1K
99024		<1%	3,285	$1K
92020		<1%	18	$139.98
92201		<1%	12	$73.61
2025F		<1%	2,577	$0.02
2024F		0%	13	$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.