Physician
Centro Pulmonar De LA Montana, PSC
Centro Pulmonar De LA Montana, PSC was paid $397K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.
33Billing provider infoCENTRO PULMONAR DE LA MONTANA, PSC
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1477609618assigned 01/27/2007
33bProvider typePulmonary Disease Physician
28Total paid$397K
24GClaims6,341
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#6 of 55
Median peer was paid$68K
This provider vs. median5.8×
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 | 1,095 | $38K | |
| 2019 | 1,360 | $61K | |
| 2020 | 725 | $34K | |
| 2021 | 875 | $59K | |
| 2022 | 980 | $67K | |
| 2023 | 770 | $72K | |
| 2024incomplete | 536 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 2,427 | 1,267 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,496 | 1,358 | $64K |
| 99222 | Initial hospital care, per day, moderate complexity | 15% | 617 | 591 | $60K |
| 94727 | 13% | 299 | 276 | $51K | |
| 99223 | Prolong inpt eval add15 m | 9.8% | 230 | 186 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.6% | 177 | 101 | $30K |
| 99253 | 4.6% | 463 | 440 | $18K | |
| 94060 | 3.3% | 332 | 303 | $13K | |
| 94729 | 2.7% | 300 | 276 | $11K |
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 officialMARTINEZ-TORRES, MIRIAM (PRESIDENT)