Ortiz-Pagan, Sonia

Ortiz-Pagan, Sonia was paid $398K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoORTIZ-PAGAN, SONIA
CAYEY, PR 00736

33aNPI1124280904assigned 07/02/2008

33bProvider typeSurgery Physician

28Total paid$398K

24GClaims6,396

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#5 of 111

Median peer was paid$28K

This provider vs. median14×

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	1,111	$41K
2019	1,130	$48K
2020	847	$45K
2021	854	$64K
2022	938	$73K
2023	644	$57K
2024incomplete	872	$70K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49%	4,230	3,654	$195K
19083		26%	266	239	$103K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23%	1,637	1,474	$93K
76942		<1%	172	152	$2K
19081		<1%	12	12	$2K
99070		<1%	45	41	$1K
99441		<1%	34	31	$1K

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.