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PROVIDER PROFILE · NPI 1518131333

Ismael OrtegaM.D.

Pulmonary DiseaseMelbourne, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
2,961
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
24
Brand share
68.6%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter542 claims
Albuterol Sulfate344 claims
Prednisone244 claims
Fluticasone/Vilanterol204 claims
Umeclidinium Brm/Vilanterol Tr190 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,000
Unique beneficiaries
—
Total services
2,536
Distinct HCPCS
14
Medicare payment
$147K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 732 Pulmonary Disease providers in FL — top quintile (cohort median 1,242).
REFERRAL NETWORK

Where Ismael Ortega'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). 84 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.