Physician
Carlos Rodriguez Ortiz MD, PA
Carlos Rodriguez Ortiz MD, PA was paid $8.77M by Medicaid between Dec 2018 and Dec 2024, across 49 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 16% of everything it billed.
33Billing provider infoCARLOS RODRIGUEZ ORTIZ MD, PA
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1982116877assigned 10/31/2017
33bProvider typeObstetrics & Gynecology Physician
28Total paid$8.77M
24GClaims114,974
24DCodes billed49
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Florida
Rank by total paid#7 of 352
Median peer was paid$67K
This provider vs. median132×
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 | 397 | $19K | |
| 2019 | 6,596 | $460K | |
| 2020 | 10,858 | $841K | |
| 2021 | 17,993 | $1.12M | |
| 2022 | 21,004 | $1.63M | |
| 2023 | 34,487 | $2.66M | |
| 2024incomplete | 23,639 | $2.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 16% | 29,098 | 14,150 | $1.42M |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 13% | 1,290 | 1,214 | $1.15M |
| 59515 | 12% | 1,093 | 1,008 | $1.01M | |
| 76830 | Ultrasound, transvaginal | 11% | 9,670 | 8,227 | $925K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.3% | 8,571 | 5,747 | $726K |
| 59410 | 5.7% | 509 | 493 | $503K | |
| J7300 | Intrauterine copper contraceptive (paragard) | 3.5% | 418 | 388 | $306K |
| 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 | 3.2% | 7,639 | 6,462 | $280K |
| 99385 | 3.1% | 3,864 | 3,425 | $276K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 3.0% | 2,072 | 1,821 | $262K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 3,220 | 2,862 | $224K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 5,571 | 4,895 | $220K |
37 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.7% | 1,569 | $153K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.7% | 9,536 | $152K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.4% | 2,603 | $127K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 2,821 | $117K |
| 59430 | 1.3% | 2,069 | $117K | |
| 99386 | 1.2% | 1,017 | $109K | |
| 76818 | <1% | 1,011 | $76K | |
| 99205 | Prolong outpt/office vis | <1% | 667 | $75K |
| 11981 | <1% | 1,211 | $68K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 691 | $66K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 503 | $42K |
| 76801 | <1% | 603 | $40K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,146 | $40K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 500 | $38K |
| 81025 | <1% | 8,161 | $36K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 481 | $36K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,231 | $33K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 679 | $27K |
| 58300 | <1% | 532 | $21K | |
| 99443 | <1% | 948 | $19K | |
| 11982 | <1% | 158 | $17K | |
| 99403 | <1% | 297 | $12K | |
| 58301 | <1% | 176 | $9K | |
| 99402 | <1% | 189 | $8K | |
| 57454 | <1% | 53 | $8K | |
| 99401 | <1% | 209 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 963 | $4K |
| 99459 | <1% | 424 | $3K | |
| 59025 | Fetal non-stress test | <1% | 341 | $2K |
| 87110 | <1% | 202 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 197 | $1K |
| 87210 | <1% | 191 | $385.94 | |
| 99404 | <1% | 19 | $245.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 268 | $219.26 |
| 87081 | <1% | 114 | $65.68 | |
| 81002 | <1% | 12 | $4.16 | |
| 0503F | 0% | 167 | $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.
From NPPES
Who's on the registration
Authorized officialRODRIGUEZ, CARLOS (PRESIDENT/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Salutem Medical Group, LLC | Miami, FL | $1.44M |
| Carlos E Rodriguez MD PA | Eagle Pass, TX | $597K |
| Darlitian LLC | Eagle Pass, TX | $444K |
| Southwest Texas Optical | Eagle Pass, TX | $290K |
| Columbine Ridge Family Medicine P C | Brighton, CO | $26K |
| Bio-Tech Clinical Laboratories, INC | Doral, FL | $24K |
| Carlos O. Rodriguez, M.D., P.A. | Miami, FL | $19K |
| Carlos J. Rodriguez, D.P.M., M.S., P.A. | Miami, FL | $14K |
| Sur Med Medical Center | Salinas, PR | $2K |
| CR Cardiology Services PSC | Caguas, PR | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.