ALFONSO ORTIZ, MD
540 N NELLIS BLVD, LAS VEGAS, NV 89110
NPI Number
1699915967
Practice location · View on Google Maps
Total Medicaid Payments
$117,899
-55% vs specialty average
Patients Seen
2,495
Total Claims
2,638
$ Per Patient
$47
Specialty avg: $69
Specialty Rank
#7 of 31
Internal Medicine, Endocrinology, Diabetes & Metabolism providers in Nevada
Peer Average
$263,156
Average total for Internal Medicine, Endocrinology, Diabetes & Metabolism
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 | |
| 2022 | $47,517 | |
| 2023 | $57,270 | |
| 2024 | $13,112 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99443 | Medical service or procedure | 1,262 | $67,012 | 56.8% | $53 |
| 99442 | Medical service or procedure | 902 | $33,700 | 28.6% | $37 |
| 99214 | Office visit for a moderate problem (established patient) | 299 | $12,514 | 10.6% | $42 |
| 99204 | New patient office visit — detailed visit for a serious problem | 60 | $4,129 | 3.5% | $69 |
| 99213 | Office visit for a simple problem (established patient) | 49 | $408 | 0.3% | $8 |
| 99441 | Medical service or procedure | 14 | $137 | 0.1% | $10 |
| 1111F | Medical service or procedure | 35 | $0 | 0.0% | $0 |
| 3078F | Medical service or procedure | 17 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.