Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Ortiz, Josean

Ortiz, Josean was paid $15K by Medicaid between Apr 2024 and Sep 2024, across 19 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.

33Billing provider infoORTIZ, JOSEAN
MOROVIS, PR 00687
33aNPI1609396886assigned 06/20/2017
28Total paid$15K
24GClaims713
24DCodes billed19
24AFirst – last monthApr 2024 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Puerto Rico

Rank by total paid#43 of 160
Median peer was paid$1K
This provider vs. median13×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete713$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 58% 35 32 $9K
99223 Prolong inpt eval add15 m 30% 35 33 $5K
99238 Hospital discharge day management, 30 minutes or less 12% 37 34 $2K
1101F 0% 50 46 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 77 66 $0.00
3074F 0% 45 42 $0.00
1157F 0% 50 48 $0.00
3008F 0% 41 39 $0.00
1126F 0% 14 14 $0.00
3079F 0% 13 12 $0.00
1170F 0% 64 62 $0.00
1036F 0% 12 12 $0.00
7 more codes
1123F 0% 15 $0.00
1160F 0% 36 $0.00
4035F 0% 50 $0.00
3078F 0% 18 $0.00
1158F 0% 37 $0.00
0518F 0% 48 $0.00
1159F 0% 36 $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.