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NPI 1720171879 · Freeville, NY · Pain Medicine Physician
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Ralph Ortiz is a pain medicine physician provider located in Freeville, New York. This profile covers 17 Medicare and 31 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 | Ralph Ortiz |
| Address | 2127 Dryden Rd |
| City | Freeville |
| State | NY |
| ZIP | 13068 |
| Taxonomy | Pain Medicine Physician |
| NPI Enumerated | October 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $148.7K |
| Medicaid | $109K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 1,170 | $60 | $71.4K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 500 | $60 | $29.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 140 | $100 | $12.9K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 150 | $60 | $8.7K |
| 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… | 490 | $10 | $4.8K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 150 | $20 | $3.5K |
| 98926 | The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders. | 100 | $30 | $3.1K |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 220 | $10 | $2.7K |
| 20551 | The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon. | 90 | $30 | $2.3K |
| 98925 | The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders. | 100 | $20 | $2.1K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 80307 | 18 | 120 | 70 | $60 | $23.1K |
| 99214 | 11,896 | 30,450 | 90 | $100 | $19K |
| 20611 | 245 | 740 | 80 | $90 | $15.9K |
| 99213 | 458 | 31,440 | 80 | $70 | $12.1K |
| 99204 | 12,446 | 14,170 | 30 | $130 | $6.6K |
| 98926 | 13 | 50 | 60 | $40 | $4.7K |
| 64418 | 10 | 20 | 30 | $80 | $4.6K |
| 98925 | 21 | 40 | 120 | $30 | $4K |
| 20550 | 57 | 590 | 30 | $50 | $3.6K |
| 20552 | 53 | 260 | 30 | $40 | $2.7K |
Showing 1–10 of 17
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.
31 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… | 6,660 | $20 | $99.9K |
| 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… | 2,580 | $1 | $7.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 110 | $10 | $1.3K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 110 | $1 | $210 |
| 98925 | The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders. | 40 | $1 | $160 |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 40 | $1 | $110 |
| 98926 | The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders. | 30 | $1 | $100 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 30 | $1 | $30 |
| 1036F | N/A | 200 | $0 | $0 |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 20 | $0 | $0 |
Showing 1–10 of 31
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 280 | 290 | 1,900 | $30 | $390.6K |
| 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… | 2,078 | 19,110 | 360 | $70 | $321K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 10,183 | 16,550 | 220 | $90 | $186.8K |
| J3490 | Unclassified drugs | 129 | 170 | 630 | $20 | $79.3K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 155 | 190 | 120 | $60 | $51.6K |
| 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… | 217 | 1,420 | 300 | $20 | $38.8K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 75 | 120 | 60 | $60 | $24K |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 123 | 260 | 300 | $10 | $11.8K |
| 98926 | The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders. | 28 | 30 | 110 | $30 | $11K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 1,041 | 1,790 | 180 | $1 | $8K |
Showing 1–10 of 31
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