Physician
Ortiz, Luis
Ortiz, Luis was paid $5K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoORTIZ, LUIS
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1649230442assigned 03/24/2006
33bProvider typeGeneral Practice Physician
28Total paid$5K
24GClaims17,398
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#497 of 1,195
Median peer was paid$2K
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 | 2,338 | $111.12 | |
| 2019 | 2,026 | $46.72 | |
| 2020 | 1,847 | $187.47 | |
| 2021 | 2,311 | $2K | |
| 2022 | 2,523 | $2K | |
| 2023 | 3,924 | $648.95 | |
| 2024incomplete | 2,429 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 80% | 8,966 | 7,846 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 19% | 21 | 21 | $900.00 |
| 96127 | <1% | 661 | 617 | $31.02 | |
| 3078F | 0% | 1,059 | 1,006 | $0.00 | |
| 99442 | 0% | 345 | 334 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 96 | 90 | $0.00 |
| 4035F | 0% | 80 | 77 | $0.00 | |
| 1159F | 0% | 70 | 63 | $0.00 | |
| 1160F | 0% | 70 | 63 | $0.00 | |
| 0521F | 0% | 24 | 22 | $0.00 | |
| 3079F | 0% | 1,616 | 1,558 | $0.00 | |
| 3008F | 0% | 1,087 | 1,046 | $0.00 |
6 more codes
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.