Physician
Ortiz Cruz, Eddiemar
Ortiz Cruz, Eddiemar was paid $840K by Medicaid between May 2019 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoORTIZ CRUZ, EDDIEMAR
SAN JUAN, PR 00927
SAN JUAN, PR 00927
33aNPI1578710422assigned 08/22/2008
33bProvider typeHematology & Oncology Physician
28Total paid$840K
24GClaims16,240
24DCodes billed18
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Puerto Rico
Rank by total paid#12 of 59
Median peer was paid$110K
This provider vs. median7.6×
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 | 194 | $4K | |
| 2020 | 897 | $40K | |
| 2021 | 2,348 | $81K | |
| 2022 | 3,596 | $187K | |
| 2023 | 5,960 | $339K | |
| 2024incomplete | 3,245 | $190K |
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 | 33% | 4,028 | 2,362 | $274K |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 18% | 1,907 | 1,019 | $153K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 16% | 1,416 | 865 | $136K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 9.8% | 2,686 | 1,241 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 1,012 | 780 | $68K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 551 | 526 | $57K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 3.0% | 2,169 | 946 | $25K |
| 96367 | 2.4% | 1,449 | 712 | $20K | |
| 96422 | <1% | 133 | 97 | $6K | |
| 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% | 62 | 60 | $6K |
| 96416 | <1% | 45 | 24 | $5K | |
| 96415 | <1% | 142 | 84 | $4K |
6 more codes
| 96523 | <1% | 197 | $2K | |
| Q0081 | Infusion therapy, using other than chemotherapeutic drugs, per visit | <1% | 222 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $620.32 |
| J1750 | Injection, iron dextran, 50 mg | <1% | 33 | $112.32 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 36 | $25.57 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 108 | $2.00 |
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.