Calderon Ortiz, Ricardo

Calderon Ortiz, Ricardo was paid $553K by Medicaid between May 2019 and Nov 2024, across 6 billing codes. Its largest line is 90961, — 43% of everything it billed.

33Billing provider infoCALDERON ORTIZ, RICARDO
GURABO, PR 00777

33aNPI1548468804assigned 07/10/2007

33bProvider typeNephrology Physician

28Total paid$553K

24GClaims5,124

24DCodes billed6

24AFirst – last monthMay 2019 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#5 of 81

Median peer was paid$66K

This provider vs. median8.4×

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
2019	12	$221.96
2020	238	$17K
2021	934	$85K
2022	1,416	$130K
2023	1,415	$174K
2024incomplete	1,109	$147K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		43%	1,424	1,263	$238K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	32%	2,271	892	$179K
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	18%	1,116	925	$97K
99223	Prolong inpt eval add15 m	4.7%	175	160	$26K
99222	Initial hospital care, per day, moderate complexity	2.2%	126	108	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$221.96

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.