Clinic
Centro Quirurgico De LA Montana INC
Centro Quirurgico De LA Montana INC was paid $294K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 65% of everything it billed.
33Billing provider infoCENTRO QUIRURGICO DE LA MONTANA INC
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1730126970assigned 05/31/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$294K
24GClaims4,552
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 9
Median peer was paid$102K
This provider vs. median2.9×
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 | 883 | $41K | |
| 2019 | 451 | $15K | |
| 2020 | 387 | $11K | |
| 2021 | 742 | $39K | |
| 2022 | 415 | $30K | |
| 2023 | 978 | $83K | |
| 2024incomplete | 696 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 65% | 867 | 692 | $193K |
| 99243 | 22% | 1,917 | 1,452 | $64K | |
| 99070 | 7.6% | 975 | 893 | $22K | |
| 93000 | 2.0% | 271 | 248 | $6K | |
| 99201 | 2.0% | 318 | 305 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 190 | 182 | $3K |
| 99241 | <1% | 14 | 14 | $170.00 |
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 officialSOTO, WILMARIE (ADMINISTRATOR)