Active NPI 1366590101 Individual Practitioner Male Practitioner

Dr. Julio R Ortiz , MD

Ophthalmology • Miami, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Julio Ortiz, MD is a certified Ophthalmology practicing in Miami, FL. With approximately 41 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1985, 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 photography of the retina, established patient outpatient office visit, examination of cornea and iris using lens device and slit lamp. 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

1985

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

41 Yrs +17.8 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 (41 Years) 41 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
92250 Photography of the retina	707	433	$99.00	$40.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	692	404	$328.00	$141.80
92020 Examination of cornea and iris using lens device and slit lamp	691	420	$71.00	$29.21
92083 Exam of visual field with extended testing	618	384	$161.00	$67.80
92133 Imaging of optic nerve	585	400	$94.00	$36.19
99213 Established patient office or other outpatient visit, typically 15 minutes	274	159	$231.00	$100.47
92201 Extended exam of the back part of the eye with retinal drawing	178	117	$63.00	$26.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$425.00	$182.59
99442 Telephone medical discussion with physician, 11-20 minutes	38	33	$232.00	$100.59
76519 Ultrasound of eye for determination of lens power	32	22	$171.00	$73.22
99443 Telephone medical discussion with physician, 21-30 minutes	31	29	$329.00	$142.52
66984 Removal of cataract with insertion of lens	29	20	$1370.00	$598.86
66821 Removal of recurring cataract in lens capsule using a laser	23	19	$849.00	$366.14
67820 Removal of eyelashes using forceps	15	13	$53.00	$21.41

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	845	487	$328.00	$136.90
92250 Photography of the retina	835	508	$99.00	$39.02
92020 Examination of cornea and iris using lens device and slit lamp	791	484	$71.00	$28.47
92083 Exam of visual field with extended testing	719	444	$161.00	$64.57
92133 Imaging of optic nerve	630	452	$94.00	$35.21
99213 Established patient office or other outpatient visit, typically 15 minutes	347	172	$231.00	$97.12
92201 Extended exam of the back part of the eye with retinal drawing	225	160	$63.00	$26.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$425.00	$179.71
76519 Ultrasound of eye for determination of lens power	55	42	$171.00	$70.57
66984 Removal of cataract with insertion of lens	46	32	$1370.00	$579.21
99443 Telephone medical discussion with physician, 21-30 minutes	43	42	$329.00	$104.20
99442 Telephone medical discussion with physician, 11-20 minutes	25	20	$232.00	$72.00
67820 Removal of eyelashes using forceps	25	18	$53.00	$20.62
66821 Removal of recurring cataract in lens capsule using a laser	14	11	$849.00	$347.52

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	917	510	$328.00	$138.22
92020 Examination of cornea and iris using lens device and slit lamp	816	493	$71.00	$29.32
92250 Photography of the retina	792	496	$99.00	$39.47
92083 Exam of visual field with extended testing	656	423	$161.00	$65.71
92133 Imaging of optic nerve	635	453	$94.00	$36.29
92201 Extended exam of the back part of the eye with retinal drawing	246	193	$63.00	$26.07
99213 Established patient office or other outpatient visit, typically 15 minutes	234	150	$231.00	$98.20
99443 Telephone medical discussion with physician, 21-30 minutes	143	119	$329.00	$120.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$425.00	$185.63
76519 Ultrasound of eye for determination of lens power	62	50	$171.00	$71.22
66984 Removal of cataract with insertion of lens	44	34	$1370.00	$577.54
99442 Telephone medical discussion with physician, 11-20 minutes	40	34	$232.00	$84.11
67820 Removal of eyelashes using forceps	20	13	$53.00	$21.82
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$849.00	$359.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	868	517	$151.35	$134.81
92020 Examination of cornea and iris using lens device and slit lamp	831	501	$86.00	$29.60
92250 Photography of the retina	823	529	$125.00	$42.06
92083 Exam of visual field with extended testing	683	444	$125.00	$67.14
92133 Imaging of optic nerve	643	465	$305.00	$36.75
99443 Telephone medical discussion with physician, 21-30 minutes	449	299	$200.00	$143.37
92012 Established patient problem focused exam of visual system	381	194	$125.33	$96.02
92202 Extended exam of the back part of the eye with optic nerve drawing	165	126	$87.50	$17.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$325.00	$187.13
76519 Ultrasound of eye for determination of lens power	66	50	$156.00	$70.69
66984 Removal of cataract with insertion of lens	60	44	$4370.00	$584.87
99442 Telephone medical discussion with physician, 11-20 minutes	52	41	$150.00	$101.46
67820 Removal of eyelashes using forceps	36	23	$137.36	$25.19
92201 Extended exam of the back part of the eye with retinal drawing	34	32	$87.50	$26.88
99441 Telephone medical discussion with physician, 5-10 minutes	20	17	$100.00	$61.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	737	487	$151.12	$134.14
92020 Examination of cornea and iris using lens device and slit lamp	734	473	$86.00	$29.35
92250 Photography of the retina	690	486	$125.00	$48.20
99443 Telephone medical discussion with physician, 21-30 minutes	637	362	$200.00	$119.42
92083 Exam of visual field with extended testing	572	410	$125.00	$67.02
92133 Imaging of optic nerve	556	423	$305.00	$36.98
92012 Established patient problem focused exam of visual system	353	192	$125.42	$93.62
99213 Established patient office or other outpatient visit, typically 15 minutes	307	305	$150.00	$67.27
92202 Extended exam of the back part of the eye with optic nerve drawing	185	141	$87.50	$17.13
99442 Telephone medical discussion with physician, 11-20 minutes	95	72	$150.00	$82.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$325.00	$183.42
76519 Ultrasound of eye for determination of lens power	44	36	$156.00	$70.77
67820 Removal of eyelashes using forceps	44	30	$133.30	$31.19
66984 Removal of cataract with insertion of lens	37	30	$4370.00	$599.85
92201 Extended exam of the back part of the eye with retinal drawing	36	32	$87.50	$27.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$125.00	$29.35
99441 Telephone medical discussion with physician, 5-10 minutes	18	15	$100.00	$50.45
66821 Removal of recurring cataract in lens capsule using a laser	16	13	$1447.00	$363.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,016	612	$150.00	$128.07
92020 Examination of cornea and iris using lens device and slit lamp	991	595	$86.00	$27.71
92250 Photography of the retina	963	607	$125.00	$51.18
92226 Examination of eye by ophthalmoscope with retinal drawing	902	516	$161.14	$49.86
92083 Exam of visual field with extended testing	840	532	$125.00	$64.50
92133 Imaging of optic nerve	783	543	$305.00	$35.03
92012 Established patient problem focused exam of visual system	556	294	$125.00	$89.21
76514 Ultrasound scan of cornea to determine thickness	175	174	$20.86	$12.80
76519 Ultrasound of eye for determination of lens power	89	68	$156.00	$64.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$325.00	$172.71
66984 Removal of cataract with insertion of lens	81	62	$4370.00	$664.73
92225 Examination of eye by ophthalmoscope with retinal drawing	45	45	$173.06	$55.41
67820 Removal of eyelashes using forceps	39	23	$153.33	$39.19
66821 Removal of recurring cataract in lens capsule using a laser	29	20	$1447.00	$342.58
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	29	15	$1987.00	$308.91
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$275.00	$79.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,052	637	$150.00	$132.02
92250 Photography of the retina	985	633	$125.00	$59.73
92020 Examination of cornea and iris using lens device and slit lamp	975	595	$86.00	$27.87
92083 Exam of visual field with extended testing	874	551	$125.00	$66.71
92226 Examination of eye by ophthalmoscope with retinal drawing	843	520	$164.76	$51.27
92133 Imaging of optic nerve	703	534	$305.00	$36.69
92012 Established patient problem focused exam of visual system	499	272	$125.00	$91.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$325.00	$179.06
76519 Ultrasound of eye for determination of lens power	94	68	$156.00	$77.47
66984 Removal of cataract with insertion of lens	88	62	$4370.00	$688.45
92225 Examination of eye by ophthalmoscope with retinal drawing	72	72	$170.14	$55.66
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	37	20	$1987.00	$318.00
67820 Removal of eyelashes using forceps	28	18	$151.96	$49.54
66821 Removal of recurring cataract in lens capsule using a laser	27	19	$1447.00	$352.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,280	676	$150.00	$128.76
92250 Photography of the retina	1,022	639	$125.00	$68.29
92020 Examination of cornea and iris using lens device and slit lamp	1,021	613	$86.00	$27.78
92133 Imaging of optic nerve	947	583	$305.00	$36.27
92083 Exam of visual field with extended testing	914	566	$125.00	$66.51
92226 Examination of eye by ophthalmoscope with retinal drawing	897	537	$164.41	$50.53
92012 Established patient problem focused exam of visual system	367	201	$125.00	$88.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$325.00	$177.71
76519 Ultrasound of eye for determination of lens power	110	76	$156.00	$86.81
66984 Removal of cataract with insertion of lens	107	71	$4370.00	$677.99
92225 Examination of eye by ophthalmoscope with retinal drawing	57	56	$170.39	$54.12
66821 Removal of recurring cataract in lens capsule using a laser	45	34	$1447.00	$342.83
67820 Removal of eyelashes using forceps	37	26	$139.86	$58.81
65855 Laser repair to improve eye fluid flow	27	14	$2344.00	$260.30
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	13	$2069.79	$319.85

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME57741

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

052254600 (FL)

Medicaid State Provider ID

052254601 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Rafael Ortiz , MD

Ophthalmology

NPI 1225186067

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 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2010

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

📍

Updated Business Mailing Address July 16, 2010

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

👤

Provider Name / Credentials Updated July 16, 2010

Recorded as JULIO ORTIZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Ophthalmology (License #ME57741 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: 1366590101

Entity Type:

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

Enumeration Date: January 08, 2007

Last Update: July 16, 2010

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.