Physician
Ortiz, Ralph
Ortiz, Ralph was paid $109K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoORTIZ, RALPH
FREEVILLE, NY 13068
FREEVILLE, NY 13068
33aNPI1720171879assigned 10/02/2006
33bProvider typePain Medicine Physician
28Total paid$109K
24GClaims24,348
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine Physician providers in New York
Rank by total paid#12 of 47
Median peer was paid$12K
This provider vs. median9.1×
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 | 3,829 | $11K | |
| 2019 | 3,693 | $14K | |
| 2020 | 4,656 | $13K | |
| 2021 | 4,620 | $14K | |
| 2022 | 2,686 | $16K | |
| 2023 | 2,387 | $18K | |
| 2024incomplete | 2,477 | $23K |
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 | 91% | 6,663 | 6,088 | $99K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.0% | 2,581 | 2,480 | $7K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 1.2% | 2,773 | 2,661 | $1K |
| 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 | 1.2% | 111 | 111 | $1K |
| 96127 | <1% | 106 | 105 | $222.90 | |
| 98925 | <1% | 41 | 39 | $154.17 | |
| 20550 | <1% | 37 | 12 | $121.27 | |
| 98926 | <1% | 26 | 25 | $108.16 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 26 | 26 | $14.85 |
| J3490 | Unclassified drugs | <1% | 86 | 86 | $14.64 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | 13 | $1.07 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 332 | 330 | $0.00 |
19 more codes
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 83 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 905 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 392 | $0.00 |
| 1036F | 0% | 196 | $0.00 | |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 81 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 196 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,453 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 1,029 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,161 | $0.00 |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 18 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,326 | $0.00 |
| 80305 | 0% | 340 | $0.00 | |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 111 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 28 | $0.00 |
| 4004F | 0% | 67 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 102 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 28 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 14 | $0.00 |
| 20611 | 0% | 23 | $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.