Medicare Enrolled

Dr. Rafael Ortiz, MD

Ophthalmology · Miami, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
11760 SW 40TH ST, Miami, FL 33175
3052202626
Registered in NPPES since 2007
NPI: 1225186067 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Ortiz from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Ortiz? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ortiz

Dr. Rafael Ortiz is an ophthalmology specialist in Miami, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ortiz performed 4,279 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Ortiz received a total of $1,481 from 19 pharmaceutical and/or device companies across 71 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ortiz is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 30% volume in FL $1,481 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 63943 Clear January 31, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary — 2023

Medicare Utilization ↗
4,279
Medicare services
Top 30% in FL for ophthalmology
Not available
Unique patients (not deduplicated)
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
823 $104 $328
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
764 $31 $104
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
692 $30 $99
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
525 $23 $71
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
356 $49 $161
Ultrasound of eye tissue and structures
A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures.
246 $76 $125
Extended eye exam with retinal drawing
A detailed examination of the back of the eye that includes creating a drawing of the retina.
184 $20 $63
Eye injection for retinal disease
A procedure involving the administration of medication directly into the eye.
179 $96 $288
Aflibercept eye injection (Eylea) 102 $693 $2,500
Compounded drug, not otherwise classified
A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products.
88 $67 $250
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
73 $27 $94
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
73 $136 $425
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
51 $77 $231
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
35 $57 $232
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
32 $71 $228
Eyelash removal with forceps
This procedure involves the manual removal of eyelashes using forceps. It is a mechanical extraction method performed on the eyelid area.
22 $16 $53
Unclassified antineoplastic drug
This code is used for cancer-fighting medications that do not have a specific HCPCS code assigned to them.
21 $67 $250
Retinal angiography with dye injection
This procedure uses a special camera to examine the blood vessels in the retina after a dye has been injected into the body.
13 $114 $298
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,481
Total received (2018-2024)
Avg $212/year across 7 years
Bottom 44% in FL for ophthalmology
19
Companies
71
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$166
2023
$126
2022
$43
2021
$239
2020
$156
2019
$449
2018
$303

Payments by company (2024)

ABBVIE INC.
$58
Apellis Pharmaceuticals, Inc.
$56
Astellas Pharma US Inc
$28
Bausch & Lomb Americas Inc.
$24
Top 3 companies account for 85.4% of 2024 payments
All-time payments by company (2018-2024) ›
Aerie Pharmaceuticals, Inc.
$236
Allergan Inc.
$193
Allergan, Inc.
$192
Novartis Pharmaceuticals Corporation
$190
Shire North American Group Inc
$123
Apellis Pharmaceuticals, Inc.
$101
ABBVIE INC.
$80
Sun Pharmaceutical Industries Inc.
$76
Alcon Vision LLC
$46
Dompe US, Inc.
$32
Regeneron Healthcare Solutions, Inc.
$28
Astellas Pharma US Inc
$28
Alcon Laboratories Inc
$26
Thea Pharma Inc.
$25
Bausch & Lomb Americas Inc.
$24
Akorn, Inc.
$23
Bausch & Lomb, a division of Bausch Health US, LLC
$23
Eyevance Pharmaceuticals LLC
$19
SUN PHARMACEUTICAL INDUSTRIES INC.
$18
Top 3 companies account for 41.9% of all-time payments
Associated products mentioned in payments ›
ACTIVEFOCUS · BEOVU · CEQUA · COMBIGAN · Cequa · EYLEA · Flarex · IYUZEH · Izervay · LUMIGAN · OXERVATE · PAZEO · RESTASIS · RESTASIS MULTIDOSE · Rhopressa · Simbrinza · Syfovre · TRAVATAN Z · VUITY · VYZULTA · XELPROS · XIIDRA · Zioptan · rhopressa · rocklatan
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an ophthalmology specialist in Miami?
Compare ophthalmologists in the Miami area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
309
County median income
$68,694
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA KENDALL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ortiz is a clinical cardiology specialist, with above-average Medicare volume (top 30% in FL), with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ortiz experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ortiz performed 823 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Ortiz receive payments from pharmaceutical companies?
Yes. Dr. Ortiz received a total of $1,481 from 19 companies across 71 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ortiz's costs compare to other ophthalmologists in Miami?
Dr. Ortiz's average Medicare payment per service is $70. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ortiz) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →