M M Ontiveros MD PA

M M Ontiveros MD PA was paid $16K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoM M ONTIVEROS MD PA
SAN ANTONIO, TX 78215

33aNPI1962697649assigned 09/06/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$16K

24GClaims1,713

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#75 of 225

Median peer was paid$6K

This provider vs. median2.7×

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	653	$2K
2019	467	$3K
2020	207	$2K
2021	312	$6K
2022	74	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	732	672	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	302	272	$5K
93000		6.9%	510	493	$1K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	5.0%	14	14	$780.55
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.6%	12	12	$255.43
G8752	Most recent systolic blood pressure < 140 mmhg	0%	62	61	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	43	40	$0.00
1111F		0%	38	37	$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.

From NPPES

Who's on the registration

Authorized officialMATHIS, CHRIS (OFFICE MANAGER)