Ortiz, Oscar
Ortiz, Oscar was paid $7K by Medicaid between Feb 2018 and Sep 2019, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 78% of everything it billed.
33Billing provider infoORTIZ, OSCAR
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1396719662assigned 02/14/2006
33bProvider typeSpecialist
28Total paid$7K
24GClaims521
24DCodes billed4
24AFirst – last monthFeb 2018 – Sep 2019
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#284 of 378
Median peer was paid$63K
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 | |
|---|---|---|---|
| 2018 | 319 | $5K | |
| 2019 | 202 | $2K |
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 | 78% | 442 | 224 | $5K |
| 99223 | Prolong inpt eval add15 m | 22% | 39 | 39 | $2K |
| 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 | <1% | 12 | 12 | $5.82 |
| 82962 | <1% | 28 | 28 | $2.60 |
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.