HIRAM ORTEGA, MD, JD
Gastroenterology Physician · AGUADILLA, PR
Individual Active NPI 1184828295
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 31 | 89 | $17,266 | $15,396 | $10,927 |
| 2023 | 30 | 99 | $19,521 | $18,146 | $12,796 |
| 2022 | 50 | 128 | $23,946 | $22,819 | $16,635 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 21 | $56 | $44 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 20 | $89 | $50 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | $440 | $351 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 17586 | PR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.