Physician
Ortega Sanchez, Jose
Ortega Sanchez, Jose was paid $651K by Medicaid between Jul 2019 and May 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoORTEGA SANCHEZ, JOSE
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1689823452assigned 09/16/2008
33bProvider typeHematology & Oncology Physician
28Total paid$651K
24GClaims8,448
24DCodes billed11
24AFirst – last monthJul 2019 – May 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Puerto Rico
Rank by total paid#14 of 59
Median peer was paid$110K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2019 | 29 | $818.21 | |
| 2020 | 453 | $32K | |
| 2021 | 1,078 | $70K | |
| 2022 | 2,087 | $144K | |
| 2023 | 3,228 | $276K | |
| 2024incomplete | 1,573 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 2,838 | 2,456 | $236K |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 26% | 2,217 | 1,233 | $170K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 14% | 910 | 570 | $89K |
| 96367 | 6.8% | 729 | 424 | $44K | |
| 96415 | 5.5% | 463 | 289 | $36K | |
| 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 | 5.4% | 303 | 299 | $35K |
| 96417 | 4.4% | 267 | 180 | $29K | |
| 99253 | 1.3% | 275 | 239 | $9K | |
| 96523 | <1% | 105 | 64 | $2K | |
| 96368 | <1% | 329 | 196 | $918.50 | |
| 99254 | <1% | 12 | 12 | $210.00 |
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.