Gloria A. Montalvo

Gloria A. Montalvo was paid $4.57M by Medicaid between Jan 2020 and Dec 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.

33Billing provider infoGLORIA A. MONTALVO
EDINBURG, TX 78539

33aNPI1912196551assigned 10/19/2007

33bProvider typeAdult Day Care Clinic/Center

28Total paid$4.57M

24GClaims31,225

24DCodes billed1

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Adult Day Care Clinic/Center providers in Texas

Rank by total paid#11 of 301

Median peer was paid$1.11M

This provider vs. median4.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.

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
2020	1,939	$234K
2021	7,275	$979K
2022	7,352	$1.10M
2023	7,421	$1.08M
2024incomplete	7,238	$1.18M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5101	Day care services, adult; per half day	100%	31,225	6,831	$4.57M

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 officialMONTALVO, CESARIO (DIRECTOR)

Same official

Other billing entities under MONTALVO, CESARIO

Full network →

Provider	Location	Paid
Nice View Home Care,llc.	Edinburg, TX	$5.28M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.