Martinez-Ortiz, Yaiza

Martinez-Ortiz, Yaiza was paid $13K by Medicaid between Aug 2018 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoMARTINEZ-ORTIZ, YAIZA
SAN JUAN, PR 00907

33aNPI1134413701assigned 06/01/2011

33bProvider typeGastroenterology Physician

28Total paid$13K

24GClaims277

24DCodes billed4

24AFirst – last monthAug 2018 – Sep 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#76 of 107

Median peer was paid$47K

This provider vs. median0.3×

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	15	$273.00
2019	109	$2K
2020	46	$3K
2021	13	$1K
2023	16	$1K
2024incomplete	78	$5K

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	69%	188	162	$9K
99223	Prolong inpt eval add15 m	20%	63	62	$3K
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	7.8%	13	13	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.4%	13	13	$306.50

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.