ISMAEL ORTEGA, M.D.
Pulmonary Disease Physician · MELBOURNE, FL
Individual Active NPI 1518131333
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 797 | 2,824 | $479,850 | $230,231 | $173,828 |
| 2023 | 770 | 2,443 | $456,285 | $221,263 | $169,104 |
| 2022 | 656 | 2,127 | $427,264 | $210,594 | $161,684 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 721 | $124 | $91 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 386 | $16 | $13 |
| 94729 | Test to examine how well the lungs exchange gases | 156 | $52 | $38 |
| 94726 | Test to determine lung volumes using sensors | 155 | $52 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $88 | $66 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 133 | $113 | $91 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 127 | $77 | $59 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 111 | $170 | $131 |
| 94726 | Test to determine lung volumes using sensors | 84 | $12 | $9 |
| 94729 | Test to examine how well the lungs exchange gases | 83 | $9 | $7 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 83 | $163 | $121 |
| 94010 | Test to measure expiratory airflow and volume | 81 | $25 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | ME101029 | FL |
| Internal Medicine Physician | 207R00000X | ME101029 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Florida
- NPI 1710907936
- NPI 1235131145
- NPI 1710043054
- NPI 1427114677
- NPI 1558346601
- NPI 1912928045
- NPI 1295924330
- NPI 1275826133
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.