Ortiz Hernandez, Gerardo

Ortiz Hernandez, Gerardo was paid $830K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 67% of everything it billed.

33Billing provider infoORTIZ HERNANDEZ, GERARDO
AGUADILLA, PR 00603

33aNPI1649492018assigned 05/03/2007

33bProvider typeGeneral Practice Physician

28Total paid$830K

24GClaims19,515

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#15 of 1,195

Median peer was paid$2K

This provider vs. median406×

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	1,705	$27K
2019	2,820	$36K
2020	1,766	$42K
2021	2,282	$93K
2022	3,327	$166K
2023	3,855	$232K
2024incomplete	3,760	$234K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	67%	14,902	13,106	$555K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	31%	3,012	2,596	$260K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.8%	1,601	1,453	$15K

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.