Physician
Ortiz, Ramon
Ortiz, Ramon was paid $130K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99221, — 41% of everything it billed.
33Billing provider infoORTIZ, RAMON
CAGUAS, PR 00727
CAGUAS, PR 00727
33aNPI1689651291assigned 12/23/2005
33bProvider typePediatrics Physician
28Total paid$130K
24GClaims5,242
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#39 of 194
Median peer was paid$7K
This provider vs. median19×
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 | 426 | $13K | |
| 2019 | 444 | $20K | |
| 2020 | 59 | $3K | |
| 2021 | 504 | $29K | |
| 2022 | 428 | $25K | |
| 2023 | 549 | $28K | |
| 2024incomplete | 2,832 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99221 | 41% | 878 | 800 | $54K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 36% | 1,181 | 877 | $47K |
| 99238 | Hospital discharge day management, 30 minutes or less | 16% | 401 | 363 | $21K |
| 99223 | Prolong inpt eval add15 m | 6.4% | 168 | 128 | $8K |
| 1160F | 0% | 201 | 83 | $0.00 | |
| 96160 | 0% | 217 | 100 | $0.00 | |
| 3028F | 0% | 212 | 95 | $0.00 | |
| 1159F | 0% | 202 | 83 | $0.00 | |
| 3078F | 0% | 179 | 73 | $0.00 | |
| 0521F | 0% | 72 | 25 | $0.00 | |
| 2001F | 0% | 217 | 99 | $0.00 | |
| 3074F | 0% | 169 | 70 | $0.00 |
7 more codes
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.