Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Cayey › NPI 1881622116
Physician

Ortiz-Cruz, Jose

Ortiz-Cruz, Jose was paid $51K by Medicaid between Apr 2023 and Nov 2024, across 2 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 65% of everything it billed.

33Billing provider infoORTIZ-CRUZ, JOSE
CAYEY, PR 00737
33aNPI1881622116assigned 06/28/2006
28Total paid$51K
24GClaims395
24DCodes billed2
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#38 of 57
Median peer was paid$106K
This provider vs. median0.5×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202381$11K
2024incomplete314$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 65% 209 150 $33K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 35% 186 87 $18K

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.