Torres-Ortiz, Victor

Torres-Ortiz, Victor was paid $691K by Medicaid between Aug 2020 and Dec 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 45% of everything it billed.

33Billing provider infoTORRES-ORTIZ, VICTOR
PONCE, PR 00716

33aNPI1679754501assigned 11/20/2007

33bProvider typeGastroenterology Physician

28Total paid$691K

24GClaims5,327

24DCodes billed9

24AFirst – last monthAug 2020 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#20 of 107

Median peer was paid$47K

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
2020	548	$83K
2021	1,206	$156K
2022	1,373	$171K
2023	1,209	$148K
2024incomplete	991	$133K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	45%	1,042	901	$311K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	1,913	1,646	$101K
99222	Initial hospital care, per day, moderate complexity	12%	784	619	$84K
45380	Colonoscopy, flexible; with biopsy, single or multiple	9.5%	259	232	$66K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.4%	936	885	$65K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	8.2%	267	244	$57K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	74	26	$5K
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	<1%	27	27	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	25	25	$514.55

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.