Montoya, Carlos

Montoya, Carlos was paid $54K by Medicaid between Oct 2018 and Oct 2024, across 2 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 83% of everything it billed.

33Billing provider infoMONTOYA, CARLOS
HUNTINGTON PARK, CA 90255

33aNPI1386616019assigned 02/06/2006

33bProvider typeOphthalmology Physician

28Total paid$54K

24GClaims1,670

24DCodes billed2

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#333 of 759

Median peer was paid$35K

This provider vs. median1.5×

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	15	$520.10
2019	26	$890.86
2020	83	$3K
2021	236	$8K
2022	419	$15K
2023	511	$18K
2024incomplete	380	$9K

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	83%	1,502	1,424	$45K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	17%	168	168	$9K

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.