Physician
Asencio-Montalvo, Madeline
Asencio-Montalvo, Madeline was paid $19K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 63% of everything it billed.
33Billing provider infoASENCIO-MONTALVO, MADELINE
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1538235247assigned 11/27/2006
33bProvider typeEmergency Medicine Physician
28Total paid$19K
24GClaims14,986
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Puerto Rico
Rank by total paid#23 of 46
Median peer was paid$14K
This provider vs. median1.4×
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 | 1,214 | $7.68 | |
| 2019 | 731 | $0.00 | |
| 2020 | 1,486 | $3K | |
| 2021 | 3,017 | $3K | |
| 2022 | 3,105 | $9K | |
| 2023 | 3,458 | $4K | |
| 2024incomplete | 1,975 | $360.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 63% | 657 | 622 | $12K |
| 99443 | 28% | 6,617 | 4,287 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 4,911 | 3,524 | $961.59 |
| 96160 | 2.6% | 172 | 154 | $495.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,087 | 921 | $107.10 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 700 | 592 | $102.00 |
| 1158F | 0% | 65 | 64 | $0.00 | |
| 82042 | 0% | 179 | 130 | $0.00 | |
| 3044F | 0% | 139 | 133 | $0.00 | |
| 3008F | 0% | 73 | 51 | $0.00 | |
| 1157F | 0% | 40 | 40 | $0.00 | |
| 3048F | 0% | 100 | 98 | $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.