Ortega-Cava, Cesar

Ortega-Cava, Cesar was paid $192K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 66% of everything it billed.

33Billing provider infoORTEGA-CAVA, CESAR
MANATI, PR 00674

33aNPI1356784771assigned 04/16/2013

33bProvider typeInternal Medicine Physician

28Total paid$192K

24GClaims3,661

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#78 of 518

Median peer was paid$5K

This provider vs. median38×

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	445	$17K
2019	234	$11K
2020	523	$23K
2021	525	$22K
2022	576	$24K
2023	684	$28K
2024incomplete	674	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	66%	3,067	2,760	$126K
99222	Initial hospital care, per day, moderate complexity	19%	406	358	$37K
99223	Prolong inpt eval add15 m	15%	188	155	$28K

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.