Montalvo-Figueroa, Jose

Montalvo-Figueroa, Jose was paid $29K by Medicaid between Jan 2018 and Jan 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoMONTALVO-FIGUEROA, JOSE
PONCE, PR 00717

33aNPI1386646917assigned 08/12/2005

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$29K

24GClaims719

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico

Rank by total paid#25 of 52

Median peer was paid$23K

This provider vs. median1.3×

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	701	$29K
2019	18	$708.76

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	83%	616	607	$24K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	103	101	$5K

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.