Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › FLUSHING › ORTIZ, CARLOS

ORTIZ, CARLOS

NPI: 1902972979 · FLUSHING, NY 11355 · Pediatrics Physician · NPI assigned 11/28/2006

$1.63M
Total Medicaid Paid
213,610
Total Claims
210,556
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,132 $172K
2019 22,101 $213K
2020 28,792 $235K
2021 34,365 $240K
2022 37,744 $236K
2023 40,120 $301K
2024 34,356 $228K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,908 12,263 $331K
90460 Immunization administration through 18 years of age via any route, first or only component 25,173 25,024 $242K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,174 7,160 $189K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,183 6,148 $184K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,515 6,076 $161K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,156 4,120 $156K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,257 5,010 $104K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,376 12,809 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,486 1,476 $22K
0081A 329 329 $12K
0154A 372 372 $12K
0071A 356 355 $12K
90461 7,784 7,774 $11K
0072A 327 327 $11K
90670 3,906 3,903 $10K
92587 1,283 1,276 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,895 2,893 $10K
99441 928 843 $10K
0124A 341 341 $9K
96127 4,754 4,753 $9K
99460 109 109 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 238 238 $7K
99381 351 350 $7K
0082A 178 177 $6K
99238 Hospital discharge day management, 30 minutes or less 109 108 $6K
0053A 249 249 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 960 938 $5K
99495 661 648 $5K
96161 15,205 15,161 $4K
90480 134 134 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 398 391 $3K
90686 10,505 10,478 $3K
97802 12,988 12,983 $3K
99188 421 420 $3K
99177 1,055 1,054 $3K
90620 1,116 1,116 $2K
0173A 80 80 $2K
99383 56 56 $2K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 960 960 $2K
90716 2,569 2,568 $1K
92551 556 556 $1K
90633 2,759 2,757 $1K
90707 2,443 2,442 $880.01
90744 1,359 1,350 $777.96
90672 1,321 1,318 $753.55
99384 15 15 $612.24
90677 458 458 $577.33
99173 2,496 2,495 $539.60
90671 292 292 $507.12
90660 251 251 $503.75
90697 976 976 $483.02
90734 1,384 1,382 $442.85
99442 17 17 $402.03
0073A 12 12 $386.48
90680 3,246 3,243 $374.85
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $307.61
90651 2,094 2,091 $294.24
90648 972 971 $278.55
94760 18,392 17,890 $261.74
90656 395 394 $247.31
99072 9,682 9,645 $232.50
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 60 60 $199.25
96160 1,339 1,286 $180.79
90698 2,480 2,477 $160.65
90715 607 606 $146.15
90700 736 736 $60.70
87110 12 12 $54.16
90710 61 61 $53.55
91319 51 51 $50.00
91318 53 53 $50.00
91307 598 574 $3.25
91308 392 383 $2.53
91315 262 262 $1.64
91312 235 235 $1.10
91305 203 203 $1.04
91317 62 62 $0.39
G9820 Documentation of a chlamydia screening test with proper follow-up 76 76 $0.01
90621 29 29 $0.01
90696 846 846 $0.00
99000 843 841 $0.00
99001 899 878 $0.00
3725F 406 406 $0.00
90685 286 285 $0.00
90713 27 27 $0.00
90681 44 44 $0.00
91320 12 12 $0.00