Montalvan Miro Dermatology, LLC

Montalvan Miro Dermatology, LLC was paid $55K by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoMONTALVAN MIRO DERMATOLOGY, LLC
DORADO, PR 00646

33aNPI1659785632assigned 06/17/2014

33bProvider typeClinic/Center

28Total paid$55K

24GClaims1,843

24DCodes billed5

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#52 of 117

Median peer was paid$38K

This provider vs. median1.5×

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	647	$12K
2019	416	$7K
2020	315	$13K
2021	337	$17K
2022	128	$7K

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	91%	1,678	1,506	$50K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.3%	109	102	$3K
11100		1.8%	29	24	$1K
11901		1.1%	14	13	$624.50
11102		0%	13	12	$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 officialMONTALVAN MIRO, ELENA (PRESIDENT)