Physician
Oscar T. Ortiz, M.D.,P.C.
Oscar T. Ortiz, M.D.,P.C. was paid $2K by Medicaid between Jun 2020 and Oct 2022, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.
33Billing provider infoOSCAR T. ORTIZ, M.D.,P.C.
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1336311125assigned 04/01/2008
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2K
24GClaims252
24DCodes billed6
24AFirst – last monthJun 2020 – Oct 2022
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New Jersey
Rank by total paid#41 of 52
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 37 | $0.00 | |
| 2021 | 151 | $2K | |
| 2022 | 64 | $257.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 56% | 91 | 27 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | 27% | 26 | 25 | $583.83 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 33 | 12 | $376.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 37 | 37 | $0.00 |
| 82962 | 0% | 26 | 26 | $0.00 | |
| 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 | 0% | 39 | 38 | $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, OSCAR (PRESIDENT)