Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Media › NPI 1235126624
Physician

Ortiz, Joseph

Ortiz, Joseph was paid $85K by Medicaid between Oct 2020 and Sep 2024, across 10 billing codes. Its largest line is 66761, — 36% of everything it billed.

33Billing provider infoORTIZ, JOSEPH
MEDIA, PA 19063
33aNPI1235126624assigned 09/30/2005
33bProvider typeOphthalmology Physician
28Total paid$85K
24GClaims2,918
24DCodes billed10
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#57 of 288
Median peer was paid$7K
This provider vs. median12×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020151$3K
2021849$28K
2022860$25K
2023981$28K
2024incomplete77$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66761 36% 222 177 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 1,172 1,129 $27K
92020 9.6% 728 703 $8K
92133 9.4% 391 381 $8K
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 6.5% 202 199 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.9% 90 86 $2K
92083 2.8% 64 60 $2K
92132 <1% 24 24 $485.45
0509T <1% 13 12 $170.50
92273 <1% 12 12 $115.71

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.