Ortiz, Carlos

Ortiz, Carlos was paid $1.63M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoORTIZ, CARLOS
FLUSHING, NY 11355

33aNPI1902972979assigned 11/28/2006

33bProvider typePediatrics Physician

28Total paid$1.63M

24GClaims213,610

24DCodes billed86

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#201 of 1,983

Median peer was paid$17K

This provider vs. median96×

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

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	20%	12,908	12,263	$331K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	25,173	25,024	$242K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	7,174	7,160	$189K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	11%	6,183	6,148	$184K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.9%	6,515	6,076	$161K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	9.6%	4,156	4,120	$156K
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	6.4%	5,257	5,010	$104K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	13,376	12,809	$29K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,486	1,476	$22K
0081A		<1%	329	329	$12K
0154A		<1%	372	372	$12K
0071A		<1%	356	355	$12K

74 more codes

90461		<1%	7,784	$11K
0072A		<1%	327	$11K
90670		<1%	3,906	$10K
92587		<1%	1,283	$10K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	2,895	$10K
99441		<1%	928	$10K
0124A		<1%	341	$9K
96127		<1%	4,754	$9K
99460		<1%	109	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	238	$7K
99381		<1%	351	$7K
0082A		<1%	178	$6K
99238	Hospital discharge day management, 30 minutes or less	<1%	109	$6K
0053A		<1%	249	$6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	960	$5K
99495		<1%	661	$5K
96161		<1%	15,205	$4K
90480		<1%	134	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	398	$3K
90686		<1%	10,505	$3K
97802		<1%	12,988	$3K
99188		<1%	421	$3K
99177		<1%	1,055	$3K
90620		<1%	1,116	$2K
0173A		<1%	80	$2K
99383		<1%	56	$2K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	960	$2K
90716		<1%	2,569	$1K
92551		<1%	556	$1K
90633		<1%	2,759	$1K
90707		<1%	2,443	$880.01
90744		<1%	1,359	$777.96
90672		<1%	1,321	$753.55
99384		<1%	15	$612.24
90677		<1%	458	$577.33
99173		<1%	2,496	$539.60
90671		<1%	292	$507.12
90660		<1%	251	$503.75
90697		<1%	976	$483.02
90734		<1%	1,384	$442.85
99442		<1%	17	$402.03
0073A		<1%	12	$386.48
90680		<1%	3,246	$374.85
99203	Doctor's office visit, new patient (routine)	<1%	26	$307.61
90651		<1%	2,094	$294.24
90648		<1%	972	$278.55
94760		<1%	18,392	$261.74
90656		<1%	395	$247.31
99072		<1%	9,682	$232.50
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	60	$199.25
96160		<1%	1,339	$180.79
90698		<1%	2,480	$160.65
90715		<1%	607	$146.15
90700		<1%	736	$60.70
87110		<1%	12	$54.16
90710		<1%	61	$53.55
91319		<1%	51	$50.00
91318		<1%	53	$50.00
91307		<1%	598	$3.25
91308		<1%	392	$2.53
91315		<1%	262	$1.64
91312		<1%	235	$1.10
91305		<1%	203	$1.04
91317		<1%	62	$0.39
G9820	Documentation of a chlamydia screening test with proper follow-up	<1%	76	$0.01
90621		<1%	29	$0.01
90696		0%	846	$0.00
99000		0%	843	$0.00
99001		0%	899	$0.00
3725F		0%	406	$0.00
90685		0%	286	$0.00
90713		0%	27	$0.00
90681		0%	44	$0.00
91320		0%	12	$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.