GLORIA A. MONTALVO
NPI: 1912196551
· EDINBURG, TX 78539
· Adult Day Care Clinic/Center
· NPI assigned 10/19/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
$4.57M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MONTALVO, CESARIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,939 |
$234K |
| 2021 |
7,275 |
$979K |
| 2022 |
7,352 |
$1.10M |
| 2023 |
7,421 |
$1.08M |
| 2024 |
7,238 |
$1.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
31,225 |
6,831 |
$4.57M |