Hernandez-Ortiz, Eric

Hernandez-Ortiz, Eric was paid $122K by Medicaid between Jan 2019 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoHERNANDEZ-ORTIZ, ERIC
CAYEY, PR 00736

33aNPI1306123500assigned 11/16/2011

33bProvider typeOrthopaedic Surgery Physician

28Total paid$122K

24GClaims2,303

24DCodes billed3

24AFirst – last monthJan 2019 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#31 of 61

Median peer was paid$122K

This provider vs. median1.0×

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
2019	594	$13K
2020	185	$9K
2021	458	$21K
2022	313	$16K
2023	369	$35K
2024incomplete	384	$28K

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	65%	1,434	1,266	$80K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	33%	824	611	$41K
20610		1.3%	45	25	$2K

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.