Physician
Ortiz - Soto, Carlos
Ortiz - Soto, Carlos was paid $0.00 by Medicaid between Nov 2018 and Oct 2024, across 19 billing codes. Its largest line is 1159F, — 0% of everything it billed.
33Billing provider infoORTIZ - SOTO, CARLOS
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1659305167assigned 07/10/2006
33bProvider typeGeneral Practice Physician
28Total paid$0.00
24GClaims1,746
24DCodes billed19
24AFirst – last monthNov 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#957 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | 37 | $0.00 | |
| 2019 | 34 | $0.00 | |
| 2023 | 1,084 | $0.00 | |
| 2024incomplete | 591 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1159F | 0% | 275 | 256 | $0.00 | |
| 1160F | 0% | 314 | 296 | $0.00 | |
| 4035F | 0% | 29 | 28 | $0.00 | |
| 3725F | 0% | 29 | 28 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | 12 | $0.00 |
| 1158F | 0% | 29 | 28 | $0.00 | |
| 3078F | 0% | 40 | 40 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 21 | 21 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 13 | 13 | $0.00 |
| 1126F | 0% | 242 | 228 | $0.00 | |
| 3008F | 0% | 268 | 252 | $0.00 | |
| 3074F | 0% | 44 | 43 | $0.00 |
7 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.