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    OpenPayerNPI Medicare & MedicaidGory Ballester Ortiz
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    Gory Ballester Ortiz — Billing Profile & Reimbursement Data

    NPI 1861748618 · San Juan, PR · Diagnostic Radiology Physician

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    Gory Ballester Ortiz is a diagnostic radiology physician provider located in San Juan, Puerto Rico. This profile covers 45 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGory Ballester Ortiz
    AddressCond. Jardines Metropolitanos
    CitySan Juan
    StatePR
    ZIP00927
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 31, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$72.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.100$80$8K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.130$60$7.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,070$10$7.5K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.110$60$6.5K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.220$30$6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.160$40$5.9K
    76377In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…90$30$2.7K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…100$30$2.6K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.30$80$2.5K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…350$10$2.4K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7127551050$70$6.6K
    7219711020$130$5.4K
    7418321020$210$5.1K
    7055381020$200$4.5K
    7322191020$80$4.3K
    7417882020$210$4.2K
    73721223020$90$3.9K
    7417743020$80$3.7K
    7055143020$110$3.2K
    7417646030$70$2.9K

    Showing 1–10 of 45

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gory Ballester Ortiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPREmergency Medicine Physician$0$6.8M
    Recinto De Ciencias MedicasPRNeonatal-Perinatal Medicine Physician$0$5.4M
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$4.2M
    Recinto De Ciencias MedicasPRPediatrics Physician$0$4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Centro De Cancer De La UniversidadPRSpecialist$0$3.8M
    Recinto De Ciencias MedicasPRInternal Medicine Physician$0$3.4M
    Recinto De Ciencias MedicasPRPediatric Cardiology Physician$0$3.1M
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Home Care Services LLCPRPediatric Skilled Nursing Facility$0$31.8M
    Eliel Ortho Medical CorpPRProsthetic/Orthotic Supplier$0$10.4M
    Tech Medical Group, Inc.PRProsthetic/Orthotic Supplier$0$7.8M
    Cmt Group, CorpPRHealth Service Clinic/Center$2K$2.3M
    Puerto Rico Medical Transport, Inc.PRNon-emergency Medical Transport (VAN)$0$920.5K
    Eddiemar Ortiz CruzPRHematology & Oncology Physician$0$841.6K
    Sandra CerdaPRPediatric Dentistry$0$656.9K
    Sheilla Ocasio ArcePRAudiologist$11.1K$130.3K
    Harry JimenezPREndocrinology, Diabetes & Metabolism Physician$11.9K$95.2K
    Eric Carro JimenezPRInterventional Cardiology Physician$26.9K$63.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Gory Ballester Ortiz — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico