Physician

Adrian N Ortiz, M.D.

According to 2025 Medicare claims, Adrian Ortiz, M.D. (NPI: 1093706798) practices physical medicine and rehabilitation in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Bucks, PA. This provider's primary affiliated billing organization is NATIONAL HEALTH REHABILITATION LLC (NPI: 1780080218; TIN: 472590836) and primary practice location at 18940-1593. Ortiz is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Ortiz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 237 traditional Medicare patients, billed 1,532 HCPCS/CPT codes, and received $107,708 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 205 prescription claims across 57 beneficiaries totaling $15,274 in drug costs, led by Buprenorphine (Buprenorphine). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $3,395 to $15,274. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$117K$235K2019 Medicare payment: $18,720 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $234,561 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $214,746 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $174,486 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $122,556 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $107,708 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201951287$18,720
20202723,467$234,561
20214262,922$214,746
20223732,446$174,486
20232631,661$122,556
20242371,532$107,708

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$7.6K$15K2020 Drug cost: $3,395 (USD; Tot_Drug_Cst)2021 Drug cost: $3,845 (USD; Tot_Drug_Cst)2022 Drug cost: $3,372 (USD; Tot_Drug_Cst)2023 Drug cost: $8,555 (USD; Tot_Drug_Cst)2024 Drug cost: $15,274 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20203176$3,395
202153130$3,845
202260139$3,372
202331119$8,555
202457205$15,274

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more101106$147
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5796$120
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes128326$86
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more141784$58
20610Aspiration and/or injection of fluid from large joint5796$39

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BuprenorphineBuprenorphine14392$4,657
GabapentinGabapentin621,761$1,989
BaclofenBaclofen34992$1,102
MeloxicamMeloxicam29671$317
Tramadol HclTramadol Hcl16321$80

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Adrian N. Ortiz, M.D.?

Tedicare shows public-source Medicare data for Adrian N. Ortiz, M.D. (NPI 1093706798), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adrian N. Ortiz, M.D. have ACO affiliation data?

Adrian N. Ortiz, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Adrian N. Ortiz, M.D.?

Adrian N. Ortiz, M.D. is linked to NATIONAL HEALTH REHABILITATION LLC (billing NPI 1780080218) in the available physician profile data.

Does Adrian N. Ortiz, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.