Physician
Gloria Ortiz, MD, P.A.
Gloria Ortiz, MD, P.A. was paid $164K by Medicaid between Jul 2018 and Nov 2024, across 29 billing codes. Its largest line is 99444, — 39% of everything it billed.
33Billing provider infoGLORIA ORTIZ, MD, P.A.
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1669980058assigned 01/19/2018
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$164K
24GClaims16,076
24DCodes billed29
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Texas
Rank by total paid#10 of 53
Median peer was paid$11K
This provider vs. median15×
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 | 149 | $0.00 | |
| 2019 | 1,876 | $66K | |
| 2020 | 3,017 | $61K | |
| 2021 | 3,666 | $21K | |
| 2022 | 2,321 | $7K | |
| 2023 | 2,387 | $5K | |
| 2024incomplete | 2,660 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 39% | 1,132 | 295 | $64K | |
| 99423 | 36% | 1,060 | 334 | $59K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 2,665 | 2,328 | $20K |
| 99422 | 4.4% | 333 | 203 | $7K | |
| 99421 | 3.5% | 340 | 117 | $6K | |
| 99457 | 1.6% | 1,986 | 1,900 | $3K | |
| 99458 | 1.2% | 1,571 | 1,508 | $2K | |
| 99454 | <1% | 1,144 | 1,117 | $2K | |
| 95250 | <1% | 74 | 72 | $806.61 | |
| 95251 | <1% | 209 | 209 | $427.17 | |
| 99091 | <1% | 27 | 27 | $265.20 | |
| 99426 | <1% | 206 | 201 | $133.57 |
17 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 191 | $113.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 691 | $105.63 |
| 92250 | <1% | 12 | $92.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $70.45 |
| 99490 | Ccm add 20min | <1% | 287 | $59.95 |
| 36415 | Collection of venous blood by venipuncture | <1% | 283 | $9.00 |
| 82962 | <1% | 1,127 | $3.28 | |
| 36416 | 0% | 1,426 | $0.00 | |
| 99000 | 0% | 65 | $0.00 | |
| 3008F | 0% | 102 | $0.00 | |
| 99439 | 0% | 288 | $0.00 | |
| 1036F | 0% | 623 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 30 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 25 | $0.00 |
| 3078F | 0% | 35 | $0.00 | |
| 1160F | 0% | 103 | $0.00 | |
| 99453 | 0% | 16 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialORTIZ, GLORIA (PRESIDENT / OWNER)
| Provider | Location | Paid |
|---|---|---|
| TCM Solutions Center LLC | Kissimmee, FL | $582K |
| TCM Solutions Center | Saint Cloud, FL | $453K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.