Physician
Ortiz, Maria
Ortiz, Maria was paid $693K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoORTIZ, MARIA
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1760466817assigned 12/02/2005
33bProvider typeOphthalmology Physician
28Total paid$693K
24GClaims9,727
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#30 of 141
Median peer was paid$163K
This provider vs. median4.3×
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 | 1,484 | $119K | |
| 2019 | 1,661 | $128K | |
| 2020 | 801 | $70K | |
| 2021 | 1,140 | $75K | |
| 2022 | 1,190 | $66K | |
| 2023 | 1,366 | $91K | |
| 2024incomplete | 2,085 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 3,581 | 3,257 | $296K |
| 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 | 18% | 990 | 817 | $125K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 2,539 | 1,888 | $105K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 950 | 886 | $91K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 6.0% | 74 | 70 | $42K |
| 92015 | Determination of refractive state | 2.9% | 795 | 648 | $20K |
| 92201 | 1.2% | 471 | 367 | $8K | |
| 92083 | <1% | 92 | 80 | $2K | |
| 92136 | <1% | 75 | 72 | $2K | |
| 76519 | <1% | 98 | 87 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $583.12 |
| 92226 | <1% | 50 | 49 | $449.73 |
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.