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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJocelyn Montalvo Ortiz
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    Jocelyn Montalvo Ortiz — Billing Profile & Reimbursement Data

    NPI 1750580122 · Caguas, PR · Neurology with Special Qualifications in Child Neurology Physician

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    Jocelyn Montalvo Ortiz is a neurology with special qualifications in child neurology physician provider located in Caguas, Puerto Rico. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJocelyn Montalvo Ortiz
    AddressPlaza Gatsby Suite 318
    CityCaguas
    StatePR
    ZIP00739
    TaxonomyNeurology with Special Qualifications in Child Neurology Physician
    NPI EnumeratedJuly 16, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…1,980$290$566.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…2,490$100$238.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…3,130$60$175.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,370$90$126.4K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…210$90$19.6K
    99201Deleted code, effective Jan. 1, 2021150$60$8.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$80$1.1K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.50$0$0
    99443N/A20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…130200$260$82.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…38280210$30$43.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…209900360$30$42.5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…116090$90$31.8K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…178530100$70$22.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…771840340$1$16.7K
    99443N/A166210110$10$9.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.420650120$1$4.7K
    99201Deleted code, effective Jan. 1, 202157150100$20$4.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jocelyn Montalvo Ortiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPREmergency Medicine Physician$0$6.8M
    Recinto De Ciencias MedicasPRNeonatal-Perinatal Medicine Physician$0$5.4M
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$4.2M
    Recinto De Ciencias MedicasPRPediatrics Physician$0$4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Recinto De Ciencias MedicasPRInternal Medicine Physician$0$3.4M
    Recinto De Ciencias MedicasPRPediatric Cardiology Physician$0$3.1M
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$3M
    Recinto De Ciencias MedicasPRMaternal & Fetal Medicine Physician$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as Jocelyn Montalvo Ortiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cossma IncPRPrimary Care Clinic/Center$0$3M
    CyrcorpPRRadiologic Technologist$0$1.7M
    Cidra Medical Labs IncPRClinical Medical Laboratory$1.3K$1.6M
    Clinica Cardiovascular Md C S PPRCardiovascular Disease Physician$0$1.2M
    Andral St. FleurPRGeneral Practice Physician$0$871.3K
    Centro De Terapia Fisica Y Clinica Del Dolor, CspPRPhysical Therapist$0$758.8K
    Inspira Behavioral Care Corp.PRAdult Mental Health Clinic/Center$0$712K
    Christian Hernandez CuevasPRGeneral Practice Physician$0$682.5K
    Hablemos Centro De Habilitacion Y Rehabilitacion Del Habla-lenguajecrlPRSpeech-Language Pathologist$0$680.4K
    Laboratory Medicine Services IncorporatedPRClinical Medical Laboratory$3.2K$616.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Jocelyn Montalvo Ortiz — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico