Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Montalvo Ortiz, Jocelyn

Montalvo Ortiz, Jocelyn was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 95819, — 50% of everything it billed.

33Billing provider infoMONTALVO ORTIZ, JOCELYN
CAGUAS, PR 00739
33aNPI1750580122assigned 07/16/2007
33bProvider typePediatrics Physician
28Total paid$1.14M
24GClaims9,417
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#8 of 194
Median peer was paid$7K
This provider vs. median168×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018570$24K
20191,048$117K
2020881$77K
20211,493$169K
20221,753$191K
20231,571$205K
2024incomplete2,101$352K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95819 50% 1,982 1,704 $567K
99205 Prolong outpt/office vis 21% 2,485 2,322 $239K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 3,130 2,937 $174K
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 11% 1,374 1,122 $126K
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 1.7% 211 160 $20K
99201 <1% 151 151 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 15 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 49 49 $0.00
99443 0% 20 19 $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.