Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ortiz Bustillo, Manuel

Ortiz Bustillo, Manuel was paid $627K by Medicaid between Mar 2020 and Nov 2024, across 18 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 46% of everything it billed.

33Billing provider infoORTIZ BUSTILLO, MANUEL
CAGUAS, PR 00727
33aNPI1669004677assigned 02/07/2020
28Total paid$627K
24GClaims9,538
24DCodes billed18
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#29 of 1,195
Median peer was paid$2K
This provider vs. median307×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020696$30K
20212,187$125K
20221,594$89K
20231,862$164K
2024incomplete3,199$220K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 46% 1,979 1,522 $288K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.1% 1,356 1,033 $57K
99220 7.9% 414 299 $49K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.1% 494 372 $45K
99222 Initial hospital care, per day, moderate complexity 6.1% 477 377 $38K
99219 5.6% 448 335 $35K
99236 Prolong inpt eval add15 m 5.2% 161 155 $33K
99218 2.9% 294 177 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.6% 2,146 1,681 $16K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.1% 558 520 $13K
51702 1.2% 238 161 $8K
93227 1.1% 147 100 $7K
6 more codes
99285 Emergency room visit (most serious) <1% 50 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 271 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 179 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 266 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 45 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15 $52.26

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.