Physician
Montes Medical Group INC
Montes Medical Group INC was paid $936K by Medicaid between Jan 2018 and Oct 2024, across 94 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 14% of everything it billed.
33Billing provider infoMONTES MEDICAL GROUP INC
WHITTIER, CA 90601
WHITTIER, CA 90601
33aNPI1982873162assigned 02/21/2008
33bProvider typeFamily Medicine Physician
28Total paid$936K
24GClaims353,311
24DCodes billed94
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#175 of 2,511
Median peer was paid$13K
This provider vs. median73×
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 | 39,903 | $106K | |
| 2019 | 48,849 | $178K | |
| 2020 | 41,256 | $133K | |
| 2021 | 58,146 | $154K | |
| 2022 | 64,011 | $157K | |
| 2023 | 65,811 | $144K | |
| 2024incomplete | 35,335 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 3,119 | 3,049 | $133K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 31,914 | 30,526 | $106K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,972 | 4,794 | $102K |
| 99381 | 9.4% | 817 | 816 | $88K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 3,829 | 3,791 | $69K |
| 90686 | 6.1% | 7,183 | 7,064 | $57K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 2,393 | 2,368 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 18,054 | 10,942 | $35K |
| 99460 | 3.5% | 726 | 721 | $33K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 2,924 | 2,918 | $21K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 2,792 | 2,791 | $18K |
| 92552 | 1.6% | 5,035 | 5,009 | $15K |
82 more codes
| 90670 | 1.6% | 2,762 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.4% | 1,544 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 493 | $13K |
| 90648 | 1.4% | 2,284 | $13K | |
| 92551 | 1.3% | 3,041 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,495 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 4,539 | $11K |
| 90680 | 1.2% | 1,899 | $11K | |
| 85018 | 1.0% | 12,591 | $10K | |
| 99457 | <1% | 1,278 | $9K | |
| 90723 | <1% | 1,558 | $9K | |
| 90651 | <1% | 1,151 | $9K | |
| 99462 | <1% | 441 | $7K | |
| 93000 | <1% | 543 | $7K | |
| 99454 | <1% | 374 | $6K | |
| 99458 | <1% | 802 | $6K | |
| 90633 | <1% | 1,476 | $5K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 43 | $4K |
| 90710 | <1% | 1,288 | $4K | |
| 90662 | <1% | 89 | $4K | |
| 99441 | <1% | 2,005 | $4K | |
| 90697 | <1% | 684 | $3K | |
| 99000 | <1% | 11,961 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,142 | $3K |
| 90671 | <1% | 468 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,924 | $3K |
| 99173 | <1% | 10,609 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,012 | $2K |
| 82962 | <1% | 5,402 | $2K | |
| 99385 | <1% | 152 | $1K | |
| 92081 | <1% | 2,364 | $930.43 | |
| 90734 | <1% | 302 | $792.00 | |
| 90685 | <1% | 81 | $763.90 | |
| 90700 | <1% | 272 | $754.00 | |
| 90620 | <1% | 236 | $698.50 | |
| 81002 | <1% | 3,104 | $674.58 | |
| 90619 | <1% | 147 | $670.50 | |
| 0071A | <1% | 15 | $590.00 | |
| 3725F | <1% | 8,162 | $518.65 | |
| 99442 | <1% | 449 | $500.00 | |
| 90715 | <1% | 86 | $484.81 | |
| 3008F | <1% | 43,684 | $452.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 277 | $417.29 |
| 86580 | <1% | 147 | $382.68 | |
| 90696 | <1% | 123 | $297.00 | |
| G8482 | Influenza immunization administered or previously received | <1% | 2,308 | $285.66 |
| 3074F | <1% | 28,030 | $270.61 | |
| 99453 | <1% | 46 | $255.01 | |
| 81025 | <1% | 1,176 | $239.50 | |
| 90688 | <1% | 75 | $225.55 | |
| 3079F | <1% | 9,488 | $192.08 | |
| 1159F | <1% | 7,095 | $191.35 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | $147.12 |
| 90681 | <1% | 16 | $126.00 | |
| 1160F | <1% | 7,150 | $99.18 | |
| 99443 | <1% | 26 | $87.98 | |
| 3078F | <1% | 27,248 | $74.10 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,453 | $70.23 |
| 3075F | <1% | 6,166 | $63.52 | |
| 3077F | <1% | 4,895 | $57.43 | |
| 1036F | <1% | 7,873 | $52.92 | |
| 99386 | <1% | 13 | $38.49 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,796 | $24.59 |
| 3080F | <1% | 2,293 | $23.52 | |
| 87650 | <1% | 13 | $17.83 | |
| 1111F | <1% | 447 | $0.27 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 143 | $0.00 |
| 85032 | 0% | 90 | $0.00 | |
| 1101F | 0% | 12 | $0.00 | |
| 97802 | 0% | 145 | $0.00 | |
| 1170F | 0% | 24 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 144 | $0.00 |
| 1126F | 0% | 26 | $0.00 | |
| 3072F | 0% | 12 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 3,430 | $0.00 |
| 99401 | 0% | 145 | $0.00 | |
| 3288F | 0% | 12 | $0.00 | |
| 4004F | 0% | 145 | $0.00 | |
| 1003F | 0% | 12 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 58 | $0.00 |
| 1090F | 0% | 24 | $0.00 | |
| 1158F | 0% | 12 | $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 officialMONTES, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Montes Medical Group INC | Inglewood, CA | $203K |
| Montes Medical Group INC | Los Angeles, CA | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.