Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ortiz-Hernandez, Melissa

Ortiz-Hernandez, Melissa was paid $431K by Medicaid between Apr 2019 and Nov 2024, across 11 billing codes. Its largest line is 99205, Prolong outpt/office vis — 49% of everything it billed.

33Billing provider infoORTIZ-HERNANDEZ, MELISSA
SANTURCE, PR 00912
33aNPI1770780629assigned 07/02/2007
28Total paid$431K
24GClaims4,531
24DCodes billed11
24AFirst – last monthApr 2019 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
201951$2K
2020318$14K
2021782$37K
2022941$78K
20231,057$110K
2024incomplete1,382$189K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 49% 1,188 947 $210K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 33% 980 804 $143K
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 6.1% 377 331 $26K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.9% 315 282 $21K
99070 2.8% 1,335 1,066 $12K
69210 1.5% 182 141 $7K
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 1.2% 33 25 $5K
31575 <1% 55 43 $4K
99243 <1% 24 24 $1K
92588 <1% 17 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 25 24 $960.00

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.