Ortiz Mcwilliam, Julio

Ortiz Mcwilliam, Julio was paid $112K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoORTIZ MCWILLIAM, JULIO
HUMACAO, PR 00791

33aNPI1336219880assigned 11/09/2006

33bProvider typeOtolaryngology Physician

28Total paid$112K

24GClaims2,551

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in Puerto Rico

Rank by total paid#13 of 29

Median peer was paid$79K

This provider vs. median1.4×

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	620	$11K
2019	536	$13K
2020	250	$12K
2021	282	$16K
2022	300	$16K
2023	184	$15K
2024incomplete	379	$29K

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	59%	1,583	1,333	$66K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	41%	939	804	$46K
69210		<1%	29	29	$360.00

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.