Physician
Ortiz Martinez, Hector
Ortiz Martinez, Hector was paid $7K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99441, — 87% of everything it billed.
33Billing provider infoORTIZ MARTINEZ, HECTOR
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1386625879assigned 11/10/2005
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims21,418
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#98 of 194
Median peer was paid$7K
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 | |
|---|---|---|---|
| 2018 | 2,980 | $16.00 | |
| 2019 | 1,788 | $313.00 | |
| 2020 | 1,797 | $220.00 | |
| 2021 | 2,458 | $1K | |
| 2022 | 2,720 | $3K | |
| 2023 | 3,119 | $2K | |
| 2024incomplete | 6,556 | $378.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 87% | 5,228 | 3,699 | $6K | |
| 96160 | 9.5% | 1,839 | 1,430 | $640.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 12,273 | 7,031 | $234.64 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 133 | 127 | $16.00 |
| 96127 | <1% | 741 | 448 | $4.56 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 131 | 93 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 187 | 169 | $0.00 |
| 99442 | 0% | 149 | 142 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 458 | 318 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 237 | 175 | $0.00 |
| 96150 | 0% | 14 | 14 | $0.00 |
1 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 16 | $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.