Gabriela Ortiz-Omphroy MD LLC

Gabriela Ortiz-Omphroy MD LLC was paid $18K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoGABRIELA ORTIZ-OMPHROY MD LLC
AIEA, HI 96701

33aNPI1285994525assigned 05/21/2012

33bProvider typeFamily Medicine Physician

28Total paid$18K

24GClaims2,038

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Hawaii

Rank by total paid#43 of 81

Median peer was paid$24K

This provider vs. median0.8×

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	246	$3K
2019	271	$4K
2020	143	$2K
2021	188	$2K
2022	946	$4K
2023	122	$1K
2024incomplete	122	$2K

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	100%	1,196	1,045	$18K
96127		<1%	45	43	$28.92
G0444	Annual depression screening, 5 to 15 minutes	<1%	30	27	$5.71
3008F		<1%	171	150	$0.15
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	181	149	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	86	77	$0.00
1036F		0%	15	14	$0.00
1033F		0%	158	137	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	156	124	$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.

From NPPES

Who's on the registration

Authorized officialORTIZ-OMPHROY, GABRIELA (OWNER)