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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGloria Ortiz
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    Gloria Ortiz — Billing Profile & Reimbursement Data

    NPI 1871825307 · Mcallen, TX · Endocrinology, Diabetes & Metabolism Physician

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    Gloria Ortiz is a endocrinology, diabetes & metabolism physician provider located in Mcallen, Texas. This profile covers 41 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
    OrganizationGloria Ortiz
    Address1900 S Jackson Rd Ste 1
    CityMcallen
    StateTX
    ZIP78503
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedFebruary 9, 2010

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

    Payer SourceTotal Paid
    Medicare$255K
    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…590$90$51K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…1,080$30$33.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…660$40$24.3K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.510$40$18.8K
    J0897Injection, denosumab, 1 mg780$20$14.8K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.140$80$11.2K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…240$40$10.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…260$40$9.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…140$50$6.9K
    99204The provider sees a new 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 provider…70$100$6.6K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08976296502,580$20$79.2K
    992142,58632,500110$80$17.6K
    994908451,520180$40$16.2K
    823061371,01050$30$15.8K
    86376306060$10$13K
    844432161,69070$20$12.9K
    9942628120110$50$11.8K
    800619751,79090$10$11.6K
    9945832480180$30$10.8K
    800531,4242,650130$10$10.6K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Okezie OkezieTXPain Medicine (Physical Medicine & Rehabilitation) Physician$312.1K$0
    Amie Sun-wrightTXInternal Medicine Physician$146K$0
    Amanda CantuTXEndocrinology, Diabetes & Metabolism Physician$24.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volver A Casa Home Health Services, Inc.TXPersonal Care Attendant$0$27M
    Columbia Rio Grande Healthcare, L.P.TXGeneral Acute Care Hospital$0$17.7M
    Med Care Emergency Medical Services IncTXAmbulance$1.2M$10.9M
    Omar GonzalezTXEmergency Medicine Physician$2M$0
    Billie MarekTXMedical Oncology Physician$1.6M$0
    Abdulrahman RagehTXOphthalmology Physician$956.9K$429.9K
    Endoscopy Center At Ridge Plaza LPTXAmbulatory Surgical Clinic/Center$187.9K$564.3K
    Sanjeeb BhandariTXOphthalmology Physician$678.1K$0
    Javier LealTXPhysical Therapist$478.5K$0
    Nyan PhyoTXNephrology Physician$350K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Gloria Ortiz — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas