Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jorge Ortiz Class (NPI 1013915677)

Field	Value
Entity Type	Individual
Organization	Jorge Ortiz Class
Address	618 Calle Infante
City	Carolina
State	PR
ZIP	00982
Taxonomy	General Practice Dentistry
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicaid	$981K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7230	N/A	1,160	$130	$149K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,920	$30	$148.1K
D0330	N/A	5,160	$30	$129K
D0150	Comprehensive oral evaluation – new or established patient	4,410	$20	$83.8K
D0272	N/A	6,390	$10	$83.1K
D1999	N/A	5,260	$20	$78.9K
D1208	Topical application of fluoride - excluding varnish	3,380	$10	$47.3K
D0120	Periodic oral evaluation - established patient	3,360	$10	$40.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	620	$60	$36.3K
D0140	Limited oral evaluation – problem focused	2,940	$10	$35.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

Claims Volume vs. Puerto Rico Distribution

Jorge Ortiz Class — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7230	N/A	4	20	270	$150	$117.6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	22	100	150	$80	$83K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	67	990	1,060	$30	$53.1K
D1999	N/A	126	950	1,350	$10	$35.1K
D0330	N/A	5	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	169	940	880	$10	$24.2K
D0272	N/A	26	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	167	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	109	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	12	910	540	$20	$18.1K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Jorge Ortiz Class, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caremark Puerto Rico Specialty	PR	Specialty Pharmacy	$0	$1.8M
Harry Alverio Rodriguez	PR	Physical Medicine & Rehabilitation Physician	$3.7K	$1.5M
Laboratorio Clinico Doctor Center, Inc.	PR	Clinical Medical Laboratory	$51.6K	$688.6K
Walgreen Co	PR	Pharmacy	$62.6K	$0
Miguel Serrano-alvarez	PR	Chiropractor	$2.4K	$0

Jorge Ortiz Class — Billing Profile & Reimbursement Data

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Jorge Ortiz Class — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References