Physician
Ortiz, Rafael
Ortiz, Rafael was paid $5K by Medicaid between Jan 2018 and Dec 2023, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoORTIZ, RAFAEL
MIAMI, FL 33175
MIAMI, FL 33175
33aNPI1225186067assigned 01/08/2007
33bProvider typeOphthalmology Physician
28Total paid$5K
24GClaims19,476
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#148 of 262
Median peer was paid$9K
This provider vs. median0.6×
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 | 2,994 | $21.27 | |
| 2019 | 4,064 | $215.16 | |
| 2020 | 3,640 | $879.25 | |
| 2021 | 3,714 | $2K | |
| 2022 | 3,139 | $2K | |
| 2023 | 1,925 | $0.00 |
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 | 46% | 931 | 663 | $2K |
| 92134 | 20% | 3,709 | 2,593 | $1K | |
| 76512 | 18% | 758 | 522 | $891.67 | |
| 99443 | 7.9% | 313 | 190 | $396.57 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.4% | 2,660 | 1,881 | $173.42 |
| 92250 | 1.4% | 3,387 | 2,388 | $72.30 | |
| 92226 | 1.3% | 1,500 | 1,127 | $67.49 | |
| 99442 | <1% | 65 | 41 | $49.05 | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 59 | 37 | $43.75 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 159 | 103 | $28.34 |
| 92201 | 0% | 2,140 | 1,471 | $0.00 | |
| 92083 | 0% | 969 | 688 | $0.00 |
8 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 245 | $0.00 |
| 92020 | 0% | 2,460 | $0.00 | |
| 92133 | 0% | 17 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 92225 | 0% | 13 | $0.00 | |
| 92242 | 0% | 37 | $0.00 | |
| 92235 | 0% | 20 | $0.00 | |
| J7999 | Compounded drug, not otherwise classified | 0% | 21 | $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.