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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Carlos Rodriguez Ortiz Md, PA (NPI 1982116877)

Field	Value
Entity Type	Organization
Organization	Carlos Rodriguez Ortiz Md, PA
Address	705 E 26th St
City	Hialeah
State	FL
ZIP	33013
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	October 31, 2017

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H1000	Prenatal care, at-risk assessment	29,100	$50	$1.4M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1,290	$890	$1.1M
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	1,090	$930	$1M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	9,670	$100	$928.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8,570	$90	$728.5K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	510	$990	$503.4K
J7300	Intrauterine copper contraceptive (paragard)	420	$730	$305.6K
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…	7,640	$40	$282.6K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	3,860	$70	$274.3K
H1001	Prenatal care, at-risk enhanced service; antepartum management	2,070	$130	$263.1K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Carlos Rodriguez Ortiz Md, PA — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99404	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	7	10	50	$290	$1.8M
H1000	Prenatal care, at-risk assessment	17	610	1,580	$60	$329.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2	10	30	$900	$283K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	26	120	80	$890	$277.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	37	140	330	$100	$173.1K
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…	823	5,930	460	$40	$169.3K
J7300	Intrauterine copper contraceptive (paragard)	1	10	200	$780	$166.9K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	3	70	40	$950	$158.2K
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…	430	6,380	430	$50	$139.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	50	300	390	$60	$127.6K

Showing 1–10 of 49

Nearby Providers

Other providers in the same ZIP code as Carlos Rodriguez Ortiz Md, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cubanbuffet	FL	Home Delivered Meals	$0	$10.3M
Francisco Dieguez	FL	Interventional Cardiology Physician	$977.7K	$0
Juan Sarol	FL	Gastroenterology Physician	$714.6K	$9.8K
Amnerys Garcia	FL	Neurology Physician	$352.7K	$15.5K
Luis Rangel	FL	Hematology & Oncology Physician	$182.2K	$51.5K
Rossana Lopez	FL	Internal Medicine Physician	$228.8K	$0
Gilberto Acosta	FL	Foot Surgery Podiatrist	$153.2K	$46.7K
Denise Negron	FL	Podiatrist	$121.4K	$28.7K
Carlos Rey	FL	Diagnostic Radiology Physician	$51K	$0
Manuel Sone	FL	Foot & Ankle Surgery Podiatrist	$2.5K	$0

Carlos Rodriguez Ortiz Md, PA — Billing Profile & Reimbursement Data

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Carlos Rodriguez Ortiz Md, PA — 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