Physician
Jose Ortiz MD PC
Jose Ortiz MD PC was paid $5K by Medicaid between Jan 2018 and Mar 2020, across 30 billing codes. Its largest line is 93000, — 24% of everything it billed.
33Billing provider infoJOSE ORTIZ MD PC
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1588983464assigned 05/18/2010
33bProvider typeInternal Medicine Physician
28Total paid$5K
24GClaims9,712
24DCodes billed30
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#3,761 of 6,049
Median peer was paid$11K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 3,905 | $2K | |
| 2019 | 4,211 | $2K | |
| 2020 | 1,596 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93000 | 24% | 88 | 88 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 864 | 807 | $719.85 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 67 | 67 | $544.44 |
| 3074F | 9.2% | 348 | 327 | $452.00 | |
| 3079F | 7.9% | 273 | 253 | $387.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 286 | 273 | $258.35 |
| 3078F | 4.9% | 203 | 192 | $242.50 | |
| H0001 | Alcohol and/or drug assessment | 4.7% | 671 | 628 | $230.00 |
| 1159F | 3.3% | 723 | 666 | $165.00 | |
| 3077F | 3.2% | 59 | 57 | $160.00 | |
| 3080F | 2.2% | 24 | 24 | $110.00 | |
| 1126F | 2.2% | 215 | 206 | $110.00 |
18 more codes
| 99487 | Ccm add 20min | 2.2% | 14 | $106.51 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 1.4% | 75 | $69.81 |
| 1125F | 1.1% | 210 | $55.00 | |
| 1160F | <1% | 542 | $47.50 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 88 | $41.45 |
| 3075F | <1% | 18 | $30.00 | |
| 1170F | <1% | 21 | $20.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 127 | $20.00 |
| 1036F | 0% | 1,317 | $0.00 | |
| 2000F | 0% | 1,265 | $0.00 | |
| 3008F | 0% | 1,312 | $0.00 | |
| 93740 | 0% | 32 | $0.00 | |
| 1000F | 0% | 76 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 113 | $0.00 |
| 94760 | 0% | 63 | $0.00 | |
| 3725F | 0% | 523 | $0.00 | |
| 4013F | 0% | 19 | $0.00 | |
| 3016F | 0% | 76 | $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.
From NPPES
Who's on the registration
Authorized officialORTIZ, JOSE (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Jose a Ortiz DMD, PSC | Juana Diaz, PR | $41K |
| Clinica Medica Familiar San Judas INC | Los Angeles, CA | $17K |
| NYC Medical of Queens PC | Jackson Heights, NY | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.