Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GLORIA ORTIZ, MD, P.A.

NPI: 1669980058 · MCALLEN, TX 78503 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 01/19/2018

$164K
Total Medicaid Paid
16,076
Total Claims
13,178
Beneficiaries
29
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialORTIZ, GLORIA (PRESIDENT / OWNER)
NPI Enumeration Date01/19/2018

Related Entities

Other providers sharing the same authorized official: ORTIZ, GLORIA

ProviderCityStateTotal Paid
TCM SOLUTIONS CENTER LLC KISSIMMEE FL $582K
TCM SOLUTIONS CENTER SAINT CLOUD FL $453K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,660 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 1,132 295 $64K
99423 1,060 334 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,665 2,328 $20K
99422 333 203 $7K
99421 340 117 $6K
99457 1,986 1,900 $3K
99458 1,571 1,508 $2K
99454 1,144 1,117 $2K
95250 74 72 $806.61
95251 209 209 $427.17
99091 27 27 $265.20
99426 206 201 $133.57
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) 191 184 $113.08
83036 Hemoglobin; glycosylated (A1C) 691 678 $105.63
92250 12 12 $92.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 14 $70.45
99490 Ccm add 20min 287 278 $59.95
36415 Collection of venous blood by venipuncture 283 276 $9.00
82962 1,127 1,018 $3.28
36416 1,426 1,251 $0.00
99000 65 64 $0.00
3008F 102 87 $0.00
99439 288 279 $0.00
1036F 623 538 $0.00
80053 Comprehensive metabolic panel 30 29 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25 25 $0.00
3078F 35 30 $0.00
1160F 103 88 $0.00
99453 16 16 $0.00