Ortiz - Justiniano, Victor

Ortiz - Justiniano, Victor was paid $85K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 62% of everything it billed.

33Billing provider infoORTIZ - JUSTINIANO, VICTOR
BAYAMON, PR 00960

33aNPI1275527780assigned 09/12/2005

33bProvider typePediatric Surgery Physician

28Total paid$85K

24GClaims3,150

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Surgery Physician providers in Puerto Rico

Rank by total paid#4 of 8

Median peer was paid$28K

This provider vs. median3.0×

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	755	$7K
2019	212	$4K
2020	98	$3K
2021	515	$16K
2022	410	$14K
2023	717	$25K
2024incomplete	443	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	62%	2,023	1,604	$53K
99255		20%	629	503	$17K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	17%	465	360	$14K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	33	13	$652.05

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.