Ramirez-Ortiz, Rene
Ramirez-Ortiz, Rene was paid $177K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoRAMIREZ-ORTIZ, RENE
SAN JUAN, PR 00923
SAN JUAN, PR 00923
33aNPI1679582415assigned 08/07/2006
33bProvider typePh.D. Medical Genetics
28Total paid$177K
24GClaims2,874
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Ph.D. Medical Genetics providers in Puerto Rico
Rank by total paid#1 of 7
Median peer was paid$3K
This provider vs. median60×
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 | 263 | $7K | |
| 2019 | 191 | $7K | |
| 2020 | 387 | $26K | |
| 2021 | 531 | $42K | |
| 2022 | 482 | $27K | |
| 2023 | 736 | $51K | |
| 2024incomplete | 284 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 911 | 830 | $50K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 422 | 243 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 111 | 55 | $21K |
| 94727 | 11% | 171 | 165 | $19K | |
| 94010 | 6.8% | 459 | 425 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 106 | 100 | $11K |
| 99254 | 5.0% | 253 | 250 | $9K | |
| 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 | 4.8% | 134 | 122 | $8K |
| 94729 | 4.3% | 170 | 165 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 64 | 64 | $4K |
| 99255 | 1.5% | 73 | 67 | $3K |
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.