What is Ismael Ortega's specialty?

Ismael Ortega (NPI 1518131333) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Melbourne, FL.

Where does Ismael Ortega practice?

Ismael Ortega practices in Melbourne, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1518131333.

How much does Medicare pay Ismael Ortega?

Ismael Ortega (NPI 1518131333) received approximately $174K in total Medicare Part B payments, serving 797 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1518131333

Ismael OrtegaM.D.

Pulmonary DiseaseMelbourne, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,000

Unique beneficiaries

—

Total services

2,536

Distinct HCPCS

Medicare payment

$147K

Peer benchmark

Total Medicare services vs. 732 Pulmonary Disease providers in FL — top quintile (cohort median 1,242).

PRESCRIBING · PART D · 2024

Total Rx claims

2,961

Beneficiaries

—

Total drug cost

$1.3M

Distinct drugs

Brand share

68.6%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter542 claims

Albuterol Sulfate344 claims

Prednisone244 claims

Fluticasone/Vilanterol204 claims

Umeclidinium Brm/Vilanterol Tr190 claims

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.

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

Physician	Patients	Visits
HOLMES REGIONAL MEDICAL CENTER, INC.	398	1,478
Brevard County Board Of County Commissioner Ambulance Service Provider · Rockledge, FL	144	474
Brent Brandon Diagnostic Radiology · Melbourne, FL	132	684
Robert Paige Diagnostic Radiology · Melbourne, FL	124	347
Joy Huddleston Diagnostic Radiology · Melbourne, FL	95	321
NPI 1053311027	84	323
NADOLNY, RICHARD	82	325
Matthew Mattern Diagnostic Radiology · Melbourne, FL	76	252
Jose Ramos Diagnostic Radiology · Melbourne, FL	71	262
Coastal Health Systems Of Brevard, Inc. Ambulance Service Provider · Rockledge, FL	61	239
Irina Mezheritskiy Diagnostic Radiology · Melbourne, FL	59	184
Carmen Anderson Diagnostic Radiology · New Orleans, LA	58	187

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.

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