Ortiz-Rosario, Jose

Ortiz-Rosario, Jose was paid $77K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 81% of everything it billed.

33Billing provider infoORTIZ-ROSARIO, JOSE
CANOVANAS, PR 00729

33aNPI1629221940assigned 10/30/2008

33bProvider typeNephrology Physician

28Total paid$77K

24GClaims1,166

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#38 of 81

Median peer was paid$66K

This provider vs. median1.2×

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	288	$8K
2019	338	$9K
2020	108	$8K
2021	221	$25K
2022	111	$14K
2023	67	$9K
2024incomplete	33	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	81%	782	687	$62K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	16%	348	171	$12K
90935	Hemodialysis procedure with single evaluation by a physician	1.6%	23	13	$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	1.2%	13	12	$886.56

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.