Physician
Montes Medical Group INC
Montes Medical Group INC was paid $293K by Medicaid between Jan 2018 and Aug 2024, across 65 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 17% of everything it billed.
33Billing provider infoMONTES MEDICAL GROUP INC
NORWALK, CA 90650
NORWALK, CA 90650
33aNPI1700055746assigned 02/25/2008
33bProvider typeInternal Medicine Physician
28Total paid$293K
24GClaims71,777
24DCodes billed65
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#342 of 2,679
Median peer was paid$13K
This provider vs. median23×
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 | 18,087 | $71K | |
| 2019 | 16,095 | $90K | |
| 2020 | 8,713 | $48K | |
| 2021 | 8,238 | $37K | |
| 2022 | 8,429 | $24K | |
| 2023 | 7,469 | $18K | |
| 2024incomplete | 4,746 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 947 | 927 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,480 | 1,464 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,233 | 6,850 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,389 | 1,379 | $38K |
| 99381 | 8.5% | 250 | 245 | $25K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 7,404 | 4,272 | $15K |
| 92552 | 4.8% | 1,841 | 1,831 | $14K | |
| 90686 | 4.2% | 2,069 | 2,058 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 329 | 329 | $9K |
| 92551 | 3.2% | 1,291 | 1,278 | $9K | |
| 85018 | 2.3% | 5,228 | 5,138 | $7K | |
| 90670 | 1.7% | 1,016 | 1,005 | $5K |
53 more codes
| 90651 | 1.5% | 155 | $4K | |
| 90648 | 1.4% | 784 | $4K | |
| 90723 | 1.2% | 606 | $4K | |
| 90680 | <1% | 493 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 154 | $3K |
| 99173 | <1% | 2,166 | $2K | |
| 90710 | <1% | 328 | $1K | |
| 90633 | <1% | 205 | $681.75 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 74 | $663.73 |
| 90685 | <1% | 33 | $507.51 | |
| 81002 | <1% | 729 | $430.65 | |
| 0071A | <1% | 12 | $420.00 | |
| 99000 | <1% | 1,655 | $417.60 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 181 | $397.52 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 80 | $390.68 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 405 | $361.34 |
| 90696 | <1% | 84 | $315.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,548 | $291.00 |
| 90734 | <1% | 81 | $279.00 | |
| 90671 | <1% | 57 | $243.00 | |
| 90697 | <1% | 39 | $193.50 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $104.94 |
| 90700 | <1% | 26 | $81.00 | |
| 90715 | <1% | 30 | $63.00 | |
| 82962 | <1% | 610 | $55.18 | |
| 92081 | <1% | 806 | $32.62 | |
| 3074F | <1% | 6,365 | $20.20 | |
| 90688 | <1% | 48 | $20.15 | |
| 3008F | <1% | 8,821 | $15.40 | |
| 81025 | <1% | 40 | $8.31 | |
| 3078F | <1% | 6,306 | $0.24 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 485 | $0.13 |
| 3079F | <1% | 1,124 | $0.10 | |
| 3077F | <1% | 377 | $0.07 | |
| 3075F | <1% | 532 | $0.07 | |
| 99401 | 0% | 197 | $0.00 | |
| 1159F | 0% | 550 | $0.00 | |
| 1160F | 0% | 658 | $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% | 431 | $0.00 |
| 3725F | 0% | 749 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 286 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 25 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 197 | $0.00 |
| 1036F | 0% | 897 | $0.00 | |
| 90657 | 0% | 31 | $0.00 | |
| 99441 | 0% | 231 | $0.00 | |
| 97802 | 0% | 197 | $0.00 | |
| 85032 | 0% | 120 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 195 | $0.00 |
| 3080F | 0% | 12 | $0.00 | |
| 81000 | 0% | 12 | $0.00 | |
| 90647 | 0% | 30 | $0.00 | |
| 99172 | 0% | 15 | $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, ALEJANDRO (MEDICAL DIRECTOR)