Ortiz Lugo, Raul
Ortiz Lugo, Raul was paid $59K by Medicaid between Jan 2018 and Apr 2019, across 6 billing codes. Its largest line is 92587, — 36% of everything it billed.
33Billing provider infoORTIZ LUGO, RAUL
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1619166824assigned 10/24/2007
33bProvider typeSpecialist
28Total paid$59K
24GClaims3,387
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#120 of 316
Median peer was paid$26K
This provider vs. median2.3×
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 | 3,324 | $58K | |
| 2019 | 63 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92587 | 36% | 786 | 499 | $21K | |
| 92557 | 34% | 885 | 570 | $20K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 879 | 561 | $9K |
| 92567 | 14% | 804 | 526 | $8K | |
| 92588 | 1.3% | 16 | 15 | $798.45 | |
| 92570 | <1% | 17 | 12 | $112.64 |
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.