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

Montalvo, Carlos

Montalvo, Carlos was paid $10K by Medicaid between Jun 2024 and Jul 2024, across 3 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 51% of everything it billed.

33Billing provider infoMONTALVO, CARLOS
DORADO, PR 00646
33aNPI1780941468assigned 04/18/2012
33bProvider typeAnesthesiology Physician
28Total paid$10K
24GClaims168
24DCodes billed3
24AFirst – last monthJun 2024 – Jul 2024
Compared with peers

Next to other Anesthesiology Physician providers in Puerto Rico

Rank by total paid#37 of 42
Median peer was paid$286K
This provider vs. median0.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2024incomplete168$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 51% 44 27 $5K
93000 36% 84 60 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13% 40 33 $1K

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.