NPI deactivated
Juan F Montalvo, MD, PA
Juan F Montalvo, MD, PA was paid $3.35M by Medicaid between Jan 2019 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoJUAN F MONTALVO, MD, PA
LAREDO, TX 78045
LAREDO, TX 78045
33aNPI1538177134assigned 08/03/2006
33bProvider typeSpecialist
28Total paid$3.35M
24GClaims75,574
24DCodes billed26
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#15 of 382
Median peer was paid$29K
This provider vs. median116×
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 | |
|---|---|---|---|
| 2019 | 150 | $6K | |
| 2020 | 2,048 | $67K | |
| 2021 | 17,715 | $735K | |
| 2022 | 18,918 | $940K | |
| 2023 | 17,947 | $800K | |
| 2024incomplete | 18,796 | $801K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 17,069 | 11,697 | $815K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 16% | 877 | 857 | $523K |
| 59514 | 15% | 1,118 | 1,043 | $512K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 10% | 4,086 | 3,597 | $335K |
| 99236 | Prolong inpt eval add15 m | 7.1% | 1,466 | 1,251 | $239K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.5% | 2,043 | 1,977 | $216K |
| 59430 | 3.5% | 1,223 | 1,200 | $116K | |
| 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 | 3.5% | 1,462 | 1,409 | $116K |
| 76830 | Ultrasound, transvaginal | 2.9% | 1,073 | 964 | $99K |
| 59025 | Fetal non-stress test | 2.9% | 2,625 | 1,706 | $97K |
| 99000 | 1.8% | 5,967 | 4,942 | $61K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 693 | 670 | $49K |
14 more codes
| 90715 | 1.3% | 1,048 | $45K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,444 | $29K |
| 81002 | <1% | 12,503 | $25K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 282 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,487 | $16K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 447 | $10K |
| 87511 | <1% | 449 | $10K | |
| 87481 | <1% | 449 | $10K | |
| 90688 | <1% | 410 | $7K | |
| 99051 | <1% | 277 | $590.87 | |
| 81025 | <1% | 57 | $243.62 | |
| 0502F | 0% | 13,927 | $0.00 | |
| 0503F | 0% | 1,159 | $0.00 | |
| 0501F | 0% | 1,933 | $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 officialMONTALVO, JUAN (PRESIDENT)