Physician
Ortiz, Roberto
Ortiz, Roberto was paid $20K by Medicaid between Feb 2018 and Aug 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoORTIZ, ROBERTO
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1407995640assigned 02/05/2007
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$20K
24GClaims1,720
24DCodes billed9
24AFirst – last monthFeb 2018 – Aug 2022
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Rhode Island
Rank by total paid#11 of 17
Median peer was paid$22K
This provider vs. median0.9×
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 | 376 | $4K | |
| 2019 | 336 | $3K | |
| 2020 | 293 | $4K | |
| 2021 | 433 | $6K | |
| 2022 | 282 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 149 | 145 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 119 | 117 | $6K |
| 36415 | Collection of venous blood by venipuncture | 10% | 688 | 664 | $2K |
| 84439 | 9.0% | 338 | 332 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | 6.1% | 124 | 122 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.7% | 141 | 140 | $741.65 |
| 80061 | Lipid panel | 2.0% | 52 | 51 | $408.72 |
| 83721 | 1.6% | 78 | 77 | $318.26 | |
| 84481 | <1% | 31 | 28 | $110.81 |
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.