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NPI 1336125368 · Aguada, PR · Family Medicine Physician
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Hiram Ortega is a family medicine physician provider located in Aguada, Puerto Rico. This profile covers 5 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Hiram Ortega |
| Address | Hc 3 Box 39603 |
| City | Aguada |
| State | PR |
| ZIP | 00602 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | December 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.5K |
| Medicaid | $100 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $60 | $2.6K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 20 | $40 | $700 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 30 | $10 | $260 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 90 | $0 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 30 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 20 | $0 | $0 |
| 1157F | No Summary found for this code | 40 | $0 | $0 |
| 1158F | No Summary found for this code | 100 | $0 | $0 |
| 1159F | No Summary found for this code | 20 | $0 | $0 |
| 1160F | No Summary found for this code | 20 | $0 | $0 |
| 1170F | The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of… | 100 | $0 | $0 |
| 2028F | No Summary found for this code | 20 | $0 | $0 |
| 3008F | No Summary found for this code | 30 | $0 | $0 |
| 3074F | No Summary found for this code | 40 | $0 | $0 |
| 3078F | No Summary found for this code | 40 | $0 | $0 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,489 | 3,230 | 330 | $10 | $42.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 201 | 840 | 340 | $1 | $16.7K |
| 99442 | N/A | 383 | 450 | 130 | $10 | $9K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 134 | 200 | 140 | $1 | $1.2K |
| 3078F | No Summary found for this code | 621 | 920 | 100 | $1 | $30 |
| 3074F | No Summary found for this code | 609 | 870 | 110 | $1 | $30 |
| 1157F | No Summary found for this code | 182 | 300 | 70 | $1 | $30 |
| 1158F | No Summary found for this code | 181 | 470 | 60 | $1 | $30 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 379 | 460 | 120 | $1 | $1 |
| 1159F | No Summary found for this code | 735 | 860 | 80 | $1 | $1 |
Showing 1–10 of 15
Other providers in the same ZIP code as Hiram Ortega, ranked by combined Medicare and Medicaid revenue.
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