Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Ortiz, Luis

Ortiz, Luis was paid $70K by Medicaid between Apr 2019 and Mar 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoORTIZ, LUIS
BRONX, NY 10453
33aNPI1699844589assigned 11/07/2006
33bProvider typePhysician Assistant
28Total paid$70K
24GClaims2,003
24DCodes billed14
24AFirst – last monthApr 2019 – Mar 2020
Compared with peers

Next to other Physician Assistant providers in New York

Rank by total paid#40 of 263
Median peer was paid$3K
This provider vs. median21×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20191,639$56K
2020364$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 583 526 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 318 284 $16K
99401 19% 535 469 $13K
99487 Ccm add 20min 3.9% 47 47 $3K
90756 1.5% 44 44 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 46 46 $757.82
93000 <1% 33 32 $495.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 13 $273.00
G9744 Patient not eligible due to active diagnosis of hypertension <1% 12 12 $25.50
36415 Collection of venous blood by venipuncture <1% 294 282 $11.37
G8783 Normal blood pressure reading documented, follow-up not required 0% 16 16 $0.00
3074F 0% 28 26 $0.00
2 more codes
3008F 0% 13 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 0% 21 $0.00

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.