Montoya, Edward
Montoya, Edward was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 42% of everything it billed.
33Billing provider infoMONTOYA, EDWARD
ELIZABETH, NJ 07202
ELIZABETH, NJ 07202
33aNPI1396983037assigned 02/03/2009
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$1.09M
24GClaims23,753
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New Jersey
Rank by total paid#7 of 210
Median peer was paid$13K
This provider vs. median83×
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 | 4,020 | $113K | |
| 2019 | 3,999 | $115K | |
| 2020 | 2,900 | $88K | |
| 2021 | 4,051 | $257K | |
| 2022 | 3,319 | $195K | |
| 2023 | 3,091 | $205K | |
| 2024incomplete | 2,373 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 42% | 3,207 | 1,393 | $459K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 9,757 | 8,706 | $351K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 3,879 | 3,825 | $209K |
| 29540 | 2.3% | 1,399 | 1,073 | $25K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 188 | 129 | $8K |
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 106 | 63 | $8K |
| 11721 | <1% | 1,765 | 1,658 | $6K | |
| 11056 | <1% | 1,554 | 1,518 | $5K | |
| 17110 | <1% | 162 | 121 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | 112 | $3K |
| 20605 | <1% | 187 | 173 | $3K | |
| 20550 | <1% | 169 | 143 | $3K |
3 more codes
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.