Active NPI 1225186067 Individual Practitioner Male Practitioner

Dr. Rafael G Ortiz , MD

Ophthalmology • Miami, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Ortiz, MD is a certified Ophthalmology practicing in Miami, FL. With approximately 38 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1988, Dr. Ortiz delivers high-quality medical care to the local community at 11760 SW 40TH ST.

Dr. Ortiz accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11760 Sw 40th St
Ste 120

Miami, FL 331753582

Telephone 3052202626

Fax 3052202082

Associated Practice Facility / Clinic

🏢 Hemonc-Care Llc Facility NPI 1487627592

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

234 Specialists

Practicing in Miami, FL (1686 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ortiz (38 Years) 38 Yrs

Miami Specialty Average (23.2 Years) 23.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	678	289	$328.00	$142.03
92134 Imaging of retina	640	323	$104.00	$41.29
92250 Photography of the retina	600	328	$99.00	$40.02
92020 Examination of cornea and iris using lens device and slit lamp	455	293	$71.00	$29.04
92083 Exam of visual field with extended testing	353	223	$161.00	$67.82
76512 Ultrasound of eye disease, growth, or structure	224	148	$125.00	$91.74
92201 Extended exam of the back part of the eye with retinal drawing	143	100	$63.00	$26.69
67028 Injection of drug into eye	130	22	$288.00	$124.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$425.00	$188.53
92012 Established patient problem focused exam of visual system	52	42	$228.00	$95.89
92133 Imaging of optic nerve	48	44	$94.00	$36.86
99442 Telephone medical discussion with physician, 11-20 minutes	40	19	$232.00	$100.39
J7999 Compounded drug, not otherwise classified	35	12	$250.00	$83.64
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$240.70	$99.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	823	340	$328.00	$136.97
92134 Imaging of retina	764	364	$104.00	$40.24
92250 Photography of the retina	692	370	$99.00	$38.97
92020 Examination of cornea and iris using lens device and slit lamp	525	334	$71.00	$28.33
92083 Exam of visual field with extended testing	356	234	$161.00	$62.87
76512 Ultrasound of eye disease, growth, or structure	246	172	$125.00	$95.64
92201 Extended exam of the back part of the eye with retinal drawing	184	114	$63.00	$25.71
67028 Injection of drug into eye	179	33	$288.00	$121.16
J0178 Injection, aflibercept, 1 mg	102	11	$2500.00	$869.33
J7999 Compounded drug, not otherwise classified	88	26	$250.00	$83.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$425.00	$179.72
92133 Imaging of optic nerve	73	57	$94.00	$35.31
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$231.00	$96.50
99442 Telephone medical discussion with physician, 11-20 minutes	35	18	$232.00	$72.02
92012 Established patient problem focused exam of visual system	32	28	$228.00	$91.73
67820 Removal of eyelashes using forceps	22	18	$53.00	$20.06
J9999 Not otherwise classified, antineoplastic drugs	21	13	$250.00	$83.64
92235 Exam of retinal blood vessels using a special camera after injection of a dye	13	11	$298.00	$142.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	815	390	$104.06	$41.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	740	353	$327.83	$138.05
92250 Photography of the retina	696	387	$98.99	$39.35
92020 Examination of cornea and iris using lens device and slit lamp	530	343	$70.94	$29.14
92083 Exam of visual field with extended testing	309	212	$160.80	$65.61
76512 Ultrasound of eye disease, growth, or structure	245	186	$125.00	$93.54
92201 Extended exam of the back part of the eye with retinal drawing	235	147	$63.00	$26.19
67028 Injection of drug into eye	148	30	$288.00	$122.35
99213 Established patient office or other outpatient visit, typically 15 minutes	116	65	$231.00	$98.02
J7999 Compounded drug, not otherwise classified	104	20	$246.15	$84.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$425.00	$184.04
92012 Established patient problem focused exam of visual system	81	54	$228.00	$94.66
J0178 Injection, aflibercept, 1 mg	78	11	$2467.95	$902.20
92235 Exam of retinal blood vessels using a special camera after injection of a dye	43	37	$298.00	$132.51
92133 Imaging of optic nerve	43	41	$94.00	$35.61
99442 Telephone medical discussion with physician, 11-20 minutes	32	25	$232.00	$79.43
67210 Laser destruction of retinal growth, 1 or more sessions	21	11	$1306.00	$552.19
67820 Removal of eyelashes using forceps	18	14	$53.00	$22.44
92014 Established patient complete exam of visual system	18	18	$321.00	$134.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	852	378	$305.00	$41.99
92250 Photography of the retina	796	387	$125.00	$41.96
92014 Established patient complete exam of visual system	756	346	$150.40	$134.86
92020 Examination of cornea and iris using lens device and slit lamp	504	341	$86.00	$29.60
92083 Exam of visual field with extended testing	299	229	$125.00	$64.51
76512 Ultrasound of eye disease, growth, or structure	255	189	$360.63	$98.99
92012 Established patient problem focused exam of visual system	249	131	$126.00	$96.02
92201 Extended exam of the back part of the eye with retinal drawing	186	127	$87.50	$26.87
67028 Injection of drug into eye	178	41	$796.00	$124.54
J0178 Injection, aflibercept, 1 mg	146	15	$1250.00	$919.23
J7999 Compounded drug, not otherwise classified	100	30	$250.00	$85.00
92235 Exam of retinal blood vessels using a special camera after injection of a dye	90	63	$198.00	$124.36
99443 Telephone medical discussion with physician, 21-30 minutes	89	64	$200.00	$143.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$325.00	$187.16
92133 Imaging of optic nerve	62	59	$305.00	$37.08
67820 Removal of eyelashes using forceps	48	31	$141.35	$25.13
67210 Laser destruction of retinal growth, 1 or more sessions	26	22	$2538.00	$563.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	970	407	$150.49	$134.04
92134 Imaging of retina	879	419	$305.00	$41.80
92250 Photography of the retina	838	429	$125.00	$48.13
92020 Examination of cornea and iris using lens device and slit lamp	490	358	$86.00	$29.23
99443 Telephone medical discussion with physician, 21-30 minutes	329	218	$200.00	$119.24
76512 Ultrasound of eye disease, growth, or structure	269	200	$338.33	$100.98
92083 Exam of visual field with extended testing	268	220	$125.00	$64.43
67028 Injection of drug into eye	256	52	$796.00	$111.63
99213 Established patient office or other outpatient visit, typically 15 minutes	208	190	$150.00	$66.32
J0178 Injection, aflibercept, 1 mg	198	22	$1250.00	$931.13
J7999 Compounded drug, not otherwise classified	143	36	$250.00	$55.06
92201 Extended exam of the back part of the eye with retinal drawing	137	107	$87.50	$26.92
99442 Telephone medical discussion with physician, 11-20 minutes	109	80	$150.00	$82.41
92012 Established patient problem focused exam of visual system	90	66	$125.28	$93.82
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	85	55	$800.00	$250.47
92133 Imaging of optic nerve	64	59	$305.00	$37.37
92235 Exam of retinal blood vessels using a special camera after injection of a dye	60	38	$198.00	$109.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$325.00	$182.96
67820 Removal of eyelashes using forceps	45	35	$127.78	$30.06
67210 Laser destruction of retinal growth, 1 or more sessions	37	25	$2606.59	$576.06
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$100.00	$50.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$125.00	$34.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,229	488	$164.61	$51.63
92014 Established patient complete exam of visual system	1,083	484	$150.00	$132.12
92134 Imaging of retina	1,053	516	$305.00	$41.52
92250 Photography of the retina	1,042	532	$125.00	$52.86
92020 Examination of cornea and iris using lens device and slit lamp	701	478	$86.00	$28.58
92083 Exam of visual field with extended testing	300	256	$125.00	$64.99
67028 Injection of drug into eye	228	59	$796.00	$109.98
76512 Ultrasound of eye disease, growth, or structure	200	154	$334.40	$111.39
92012 Established patient problem focused exam of visual system	170	113	$125.00	$92.12
J0178 Injection, aflibercept, 1 mg	148	19	$1250.00	$943.01
J7999 Compounded drug, not otherwise classified	141	46	$250.00	$49.20
92133 Imaging of optic nerve	131	114	$305.00	$36.55
92235 Exam of retinal blood vessels using a special camera after injection of a dye	121	87	$198.00	$94.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$325.00	$177.97
92225 Examination of eye by ophthalmoscope with retinal drawing	106	106	$174.17	$56.96
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	70	56	$800.00	$237.67
67820 Removal of eyelashes using forceps	56	39	$137.59	$37.49
67210 Laser destruction of retinal growth, 1 or more sessions	50	31	$2538.00	$555.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,351	511	$165.97	$51.03
92014 Established patient complete exam of visual system	1,179	509	$150.00	$131.96
92134 Imaging of retina	1,139	557	$305.00	$41.97
92250 Photography of the retina	1,116	571	$125.00	$59.73
92020 Examination of cornea and iris using lens device and slit lamp	732	500	$86.00	$27.87
92083 Exam of visual field with extended testing	315	257	$125.00	$64.69
76512 Ultrasound of eye disease, growth, or structure	271	197	$335.13	$137.09
67028 Injection of drug into eye	264	53	$799.02	$110.25
92012 Established patient problem focused exam of visual system	238	125	$125.00	$91.64
J7999 Compounded drug, not otherwise classified	177	40	$250.00	$49.20
92235 Exam of retinal blood vessels using a special camera after injection of a dye	170	112	$198.00	$87.97
J0178 Injection, aflibercept, 1 mg	162	16	$1250.00	$953.98
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	139	82	$800.00	$236.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$325.00	$179.01
92225 Examination of eye by ophthalmoscope with retinal drawing	125	125	$168.70	$54.63
92133 Imaging of optic nerve	114	103	$305.00	$36.69
67210 Laser destruction of retinal growth, 1 or more sessions	61	32	$2538.00	$557.50
67820 Removal of eyelashes using forceps	37	26	$133.65	$45.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,351	545	$167.92	$50.61
92134 Imaging of retina	1,275	595	$305.00	$40.96
92014 Established patient complete exam of visual system	1,274	542	$150.00	$128.72
92250 Photography of the retina	1,108	607	$125.00	$68.29
92020 Examination of cornea and iris using lens device and slit lamp	830	558	$86.00	$27.75
76512 Ultrasound of eye disease, growth, or structure	321	246	$310.16	$154.47
92083 Exam of visual field with extended testing	307	268	$125.00	$63.98
67028 Injection of drug into eye	288	62	$796.00	$109.49
92235 Exam of retinal blood vessels using a special camera after injection of a dye	200	128	$225.72	$87.13
J7999 Compounded drug, not otherwise classified	200	55	$250.00	$49.21
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	187	109	$800.00	$233.56
92012 Established patient problem focused exam of visual system	167	116	$125.00	$88.89
J0178 Injection, aflibercept, 1 mg	166	15	$1250.00	$962.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$325.00	$177.61
92225 Examination of eye by ophthalmoscope with retinal drawing	148	146	$173.82	$54.89
92133 Imaging of optic nerve	130	117	$305.00	$36.43
67210 Laser destruction of retinal growth, 1 or more sessions	48	30	$2538.00	$551.85
67820 Removal of eyelashes using forceps	44	31	$143.75	$58.46

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME63943

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

373178200 (FL)

Medicaid State Provider ID

373178204 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Julio Ortiz , MD

Ophthalmology

NPI 1366590101

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2008

Registered at 11760 SW 40TH ST, STE 120, MIAMI, FL 331753582 (Tel: 3052202626)

📍

Updated Business Mailing Address July 10, 2008

Registered at 11760 SW 40TH ST, STE 120, MIAMI, FL 331753582 (Tel: 3052202626)

👤

Provider Name / Credentials Updated July 10, 2008

Recorded as RAFAEL ORTIZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2008

Ophthalmology (License #ME63943 in FL)

🟢

Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225186067

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 08, 2007

Last Update: July 10, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11760 Sw 40th St, Ste 120

Miami, FL 331753582

Phone: 3052202626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.