What is Rafael Ortiz's specialty?

Rafael Ortiz (NPI 1225186067) is a Medicare-billing provider whose primary specialty is Ophthalmology in Miami, FL.

Where does Rafael Ortiz practice?

Rafael Ortiz practices in Miami, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1225186067.

How much does Medicare pay Rafael Ortiz?

Rafael Ortiz (NPI 1225186067) received approximately $364K in total Medicare Part B payments, serving 344 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1225186067

Rafael OrtizMD

OphthalmologyMiami, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,932

Unique beneficiaries

—

Total services

3,493

Distinct HCPCS

Medicare payment

$198K

Peer benchmark

Total Medicare services vs. 1,263 Ophthalmology providers in FL — above median (cohort median 2,598).

PRESCRIBING · PART D · 2024

Total Rx claims

1,214

Beneficiaries

—

Total drug cost

$229K

Distinct drugs

Brand share

40.6%

Top prescribed drugs

Latanoprost197 claims

Azelastine Hcl159 claims

Latanoprostene Bunod115 claims

Brimonidine Tartrate95 claims

Netarsudil Mesylate93 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

92.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$166

Payment records

By payment type

Food and Beverage$166

Top paying entities

Food and Beverage$166

REFERRAL NETWORK

Where Rafael Ortiz's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 29 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Julio Ortiz Ophthalmology · Miami, FL	96	203
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	60	91
Leoncio Gonzalez Optometry · Miami, FL	19	22
NPI 1114077674	14	22
Med Health Clinical Lab Llc Clinical Laboratory · Doral, FL	13	32
FLORIDA REFERENCE LABORATORY INC	12	17
NPI 1205822251	11	41

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Miramar, FL	140	295
Julio Ortiz Ophthalmology · Miami, FL	70	135
KENDALL HEALTHCARE GROUP, LTD.	67	101
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	66	117
BAPTIST HOSPITAL OF MIAMI INC	40	57
Leoncio Gonzalez Optometry · Miami, FL	28	32
LEONCIO V GONZALEZ OD PA	25	26
NPI 1114077674	22	34
Enrique Fernandez Family Practice · Miami, FL	20	69
Finlay Clinical Laboratory Inc Clinical Laboratory · Miami, FL	18	38
SOUTH MIAMI HOSPITAL INC	18	21
Med Health Clinical Lab Llc Clinical Laboratory · Doral, FL	17	39

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events