Physician
Montes Medical Group INC
Montes Medical Group INC was paid $67K by Medicaid between Jan 2018 and Jul 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMONTES MEDICAL GROUP INC
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
33aNPI1437487956assigned 11/20/2009
33bProvider typeInternal Medicine Physician
28Total paid$67K
24GClaims32,190
24DCodes billed45
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#777 of 2,679
Median peer was paid$13K
This provider vs. median5.4×
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 | 3,473 | $12K | |
| 2019 | 5,395 | $22K | |
| 2020 | 3,575 | $11K | |
| 2021 | 4,711 | $9K | |
| 2022 | 6,991 | $7K | |
| 2023 | 5,274 | $5K | |
| 2024incomplete | 2,771 | $2K |
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 | 30% | 4,383 | 4,193 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 462 | 456 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 194 | 189 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 231 | 230 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 2,578 | 1,585 | $5K |
| 92552 | 6.6% | 809 | 808 | $4K | |
| 99381 | 4.3% | 25 | 25 | $3K | |
| 90686 | 3.8% | 636 | 624 | $3K | |
| 85018 | 3.2% | 2,238 | 2,188 | $2K | |
| 90670 | 1.7% | 226 | 226 | $1K | |
| 90648 | 1.4% | 204 | 203 | $955.00 | |
| 92551 | 1.3% | 83 | 83 | $885.03 |
33 more codes
| 90723 | <1% | 82 | $423.00 | |
| 99173 | <1% | 883 | $407.68 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $296.92 |
| 90680 | <1% | 40 | $180.00 | |
| 99000 | <1% | 1,216 | $122.45 | |
| 81002 | <1% | 95 | $101.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,646 | $92.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | $68.13 |
| 90710 | <1% | 13 | $54.00 | |
| 99441 | <1% | 251 | $20.52 | |
| 3008F | <1% | 5,264 | $5.08 | |
| 82962 | <1% | 221 | $1.44 | |
| 3078F | <1% | 3,290 | $0.05 | |
| 3074F | <1% | 3,333 | $0.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 267 | $0.01 |
| 3077F | <1% | 241 | $0.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 25 | $0.01 |
| 1036F | 0% | 458 | $0.00 | |
| 3079F | 0% | 783 | $0.00 | |
| 3075F | 0% | 171 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 13 | $0.00 |
| 3080F | 0% | 12 | $0.00 | |
| 97802 | 0% | 13 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 3725F | 0% | 647 | $0.00 | |
| 1159F | 0% | 290 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 103 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 234 | $0.00 |
| 1160F | 0% | 269 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 50 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 24 | $0.00 |
| 99401 | 0% | 13 | $0.00 | |
| 92081 | 0% | 27 | $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.
From NPPES
Who's on the registration
Authorized officialMONTES, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Montes Medical Group INC | Whittier, CA | $936K |
| Montes Medical Group INC | Inglewood, CA | $203K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.