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Vanessa O Ortiz, MD

Pain Management · Capitola

NPI 1841374683

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
21
6 carriers
Offices
4

Offices

4 locations · Integrated Pain Management Medical Group Inc · 42 clinicians in this group

Looking this up.

Plans that list them

21 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ortiz’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

21 of 21 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

Original Medicare doctor bills

$42,871

Medicare paid this office $42,871 for 61 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms30$14,142$236
Return visit (30+ min)38$11,799$107
Short return visit (20+ min)21$4,418$79
Telephone medical discussion with physician, 11-20 minutes14$2,928$84

Who their Medicare patients are

61 Original Medicare patients in 2024. Average age 75 · Women 66% · Health risk score 1.21. At or below the middle of the specialty; the typical pain management clinician is at 1.38.

Conditions among them: High blood pressure 75% · Diabetes 33% · Depression 33% · Coronary heart disease 25% · Cancer 23% · Chronic kidney disease 20%.

The office billed $247,561, Medicare allowed $52,625 and paid $42,871; for 479 services of 24 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202461479751.21$247,561$42,871
202386799751.28$137,135$73,615
20221361,076781.11$132,641$99,092
20211611,879781.05$197,724$149,662
2020166716771.03$99,717$76,127
2019224789771.26$125,110$88,728
2018154602771.11$101,464$72,824
2017133466771.05$78,934$58,850
2016171538771.09$90,012$66,501
2015166527761.07$81,898$61,597
2014165514781.16$79,620$58,180
2013147559771.10$77,200$56,702

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)64$29,456$113
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms44$17,972$230
Short return visit (20+ min)18$5,493$81
Evaluation of psychological test, first hour24$4,044$88
New patient visit (60+ min)20$3,896$195
Administration of psychological or neuropsychological test by technician, first 30 minutes35$2,044$31

2022: 11 services

Original Medicare services billed in 2022
Return visit (30+ min)83$30,987$116
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms49$17,084$244
Evaluation of psychological test, first hour51$15,585$105
Administration of psychological or neuropsychological test by technician, first 30 minutes83$8,242$37
Short return visit (20+ min)30$6,630$81
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month45$4,332$54
New patient visit (60+ min)21$3,575$170
Muscle electrical test14$2,317$105
New patient visit (45+ min)11$1,271$116
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month13$780$60
Whole body composition tissue and fluid measurements with interpretation and report28$277$9

2021: 11 services

Original Medicare services billed in 2021
Return visit (30+ min)96$47,047$117
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms72$23,210$247
Evaluation of psychological test, first hour61$15,263$106
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month110$14,217$39
Administration of psychological or neuropsychological test by technician, first 30 minutes98$11,553$39
Short return visit (20+ min)66$9,148$80
New patient visit (60+ min)31$6,309$204
New patient visit (45+ min)27$3,902$145
Muscle electrical test19$3,138$105
Long return visit (40+ min)12$2,070$159
Whole body composition tissue and fluid measurements with interpretation and report58$618$10

2020: 7 services

Original Medicare services billed in 2020
Return visit (30+ min)76$18,143$101
Nerve test63$14,847$232
Short return visit (20+ min)85$14,546$68
Muscle electrical test67$12,701$98
New patient visit (60+ min)31$6,095$197
New patient visit (45+ min)27$3,878$144
Long return visit (40+ min)17$3,242$141

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)90$20,788$96
Muscle electrical test106$18,990$91
Nerve test81$18,371$221
New patient visit (60+ min)43$7,885$183
Short return visit (20+ min)71$7,041$63
New patient visit (45+ min)27$3,802$141
Long return visit (40+ min)25$3,631$130

2018: 7 services

Original Medicare services billed in 2018
Long return visit (40+ min)79$29,462$124
Muscle electrical test67$11,232$90
Nerve test46$10,819$230
New patient visit (60+ min)36$6,575$183
Return visit (30+ min)44$6,087$91
Nerve test11$2,787$253
Short return visit (20+ min)15$960$64

2017: 6 services

Original Medicare services billed in 2017
Long return visit (40+ min)71$23,873$126
Nerve test36$10,770$283
Return visit (30+ min)50$8,639$97
New patient visit (60+ min)31$5,730$185
Muscle electrical test29$5,095$86
Muscle electrical test14$823$59

2016: 8 services

Original Medicare services billed in 2016
Long return visit (40+ min)69$16,096$127
Nerve test57$15,968$280
Return visit (30+ min)70$13,386$93
Muscle electrical test49$8,480$85
New patient visit (60+ min)26$4,827$186
New patient visit (45+ min)17$2,167$127
Injection of trigger points, 3 or more muscles14$955$53
Muscle electrical test17$936$55

2015: 8 services

Original Medicare services billed in 2015
Return visit (30+ min)73$17,436$96
Nerve test57$16,009$281
Muscle electrical test48$7,828$88
Long return visit (40+ min)30$5,276$126
New patient visit (45+ min)31$4,533$146
New patient visit (60+ min)11$1,843$168
Injection of trigger points, 3 or more muscles17$1,680$54
Muscle electrical test24$1,463$59

2014: 8 services

Original Medicare services billed in 2014
Nerve test63$18,645$287
Return visit (30+ min)67$14,077$94
Muscle electrical test42$6,675$87
Long return visit (40+ min)39$5,403$106
New patient visit (60+ min)22$3,020$137
Muscle electrical test36$2,027$55
New patient visit (45+ min)14$1,967$141
Injection of trigger points, 3 or more muscles13$901$38

2013: 7 services

Original Medicare services billed in 2013
Long return visit (40+ min)72$23,459$123
Nerve test37$10,545$285
New patient visit (60+ min)40$7,223$181
Muscle electrical test29$3,943$82
Return visit (30+ min)25$2,651$98
Muscle electrical test24$1,455$58
Aspiration and/or injection of fluid from large joint12$716$40

Drugs they prescribed that Part D paid

$3,986

Pharmacies billed $3,986 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 16% of their Part D prescriptions (27 of 167) in 2024. At or below the middle of the specialty; the typical pain management clinician is at 44%.

166 generic and fewer than 11 brand-name prescriptions · $3,986 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Gabapentin71$670$9
Hydrocodone-Acetaminophen11$346$31
Pregabalin11$205$19
Nabumetone17$181$11

Year by year

Part D prescribing by year
20241673916% (27)None$3,986
20232064035% (71)None$11,920
20222615436% (94)None$13,321
20213976645% (177)4%$21,355
20204056747% (190)None$17,423
20194336555% (239)9%$30,018
20185286253% (279)13%$44,664
20175446553% (290)14%$53,322
20164646757% (262)16%$49,925
20153706250% (185)22%$48,741
20143745651% (189)22%$44,511
20133485255% (190)28%$38,488

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Buprenorphine11$3,842$349
Pregabalin20$2,535$127
Naloxone12$1,009$84
Gabapentin63$917$15
Oxycodone-Acetaminophen13$680$52
Fentanyl11$613$56
Hydrocodone-Acetaminophen29$468$16

2022: 6 drugs

Part D drugs prescribed in 2022
Buprenorphine12$4,228$352
Pregabalin22$1,637$74
Gabapentin98$1,610$16
Fentanyl14$956$68
Oxycodone-Acetaminophen20$931$47
Hydrocodone-Acetaminophen41$835$20

2021: 8 drugs

Part D drugs prescribed in 2021
Buprenorphine20$6,779$339
Fentanyl24$2,244$94
Hydrocodone-Acetaminophen77$1,742$23
Gabapentin116$1,654$14
Oxycodone-Acetaminophen31$1,303$42
Pregabalin33$1,289$39
Lidocaine13$708$54
Tramadol21$64$3

2020: 9 drugs

Part D drugs prescribed in 2020
Buprenorphine13$4,949$381
Fentanyl23$2,335$102
Pregabalin41$1,809$44
Hydrocodone-Acetaminophen77$1,641$21
Oxycodone-Acetaminophen34$1,504$44
Gabapentin87$1,372$16
Lidocaine12$499$42
Tramadol28$118$4
Prednisone16$74$5

2019: 10 drugs

Part D drugs prescribed in 2019
Lyrica20$8,835$442
Fentanyl34$3,170$93
Hydrocodone-Acetaminophen105$2,913$28
Gabapentin87$1,624$19
Oxycodone-Acetaminophen36$1,529$42
Pregabalin11$665$60
Morphine Sulfate Er12$275$23
Tizanidine12$200$17
Tramadol27$199$7
Prednisone11$47$4

2018: 11 drugs

Part D drugs prescribed in 2018
Lyrica40$18,643$466
Nucynta Er12$4,807$401
Hydrocodone-Acetaminophen119$3,251$27
Fentanyl46$2,657$58
Oxycodone-Acetaminophen37$1,717$46
Gabapentin94$1,305$14
Celecoxib22$1,091$50
Duloxetine13$905$70
Morphine Sulfate Er12$373$31
Tramadol32$352$11
Prednisone13$63$5

2017: 12 drugs

Part D drugs prescribed in 2017
Lyrica36$16,250$451
Nucynta Er13$7,824$602
Fentanyl38$2,416$64
Hydrocodone-Acetaminophen124$2,401$19
Celecoxib19$1,854$98
Duloxetine18$1,111$62
Oxycodone-Acetaminophen28$963$34
Gabapentin80$906$11
Endocet11$762$69
Lidocaine11$705$64
Tramadol20$299$15
Topiramate13$112$9

2016: 14 drugs

Part D drugs prescribed in 2016
Lyrica29$9,452$326
Nucynta Er13$7,146$550
Hydrocodone-Acetaminophen105$4,371$42
Hysingla Er12$3,591$299
Fentanyl42$2,450$58
Tramadol Hcl Er11$1,619$147
Oxycodone-Acetaminophen25$1,559$62
Lidocaine11$1,469$134
Endocet12$962$80
Duloxetine19$952$50
Gabapentin48$769$16
Tizanidine11$274$25
Tramadol17$207$12
Trazodone14$60$4

2015: 11 drugs

Part D drugs prescribed in 2015
Butrans15$6,080$405
Lyrica20$4,922$246
Nucynta Er11$4,868$443
Hydrocodone-Acetaminophen73$3,568$49
Duloxetine24$3,057$127
Fentanyl30$2,253$75
Oxycodone-Acetaminophen24$1,378$57
Gabapentin40$594$15
Tramadol29$311$11
Nabumetone12$272$23
Zolpidem11$200$18

2014: 9 drugs

Part D drugs prescribed in 2014
Gralise14$7,778$556
Duloxetine24$5,765$240
Lyrica26$5,298$204
Nucynta Er12$3,822$319
Hydrocodone-Acetaminophen93$2,632$28
Fentanyl25$1,751$70
Gabapentin50$814$16
Oxycodone-Acetaminophen13$622$48
Tramadol31$475$15

2013: 8 drugs

Part D drugs prescribed in 2013
Lidoderm17$7,983$470
Cymbalta21$6,164$294
Gralise16$5,617$351
Fentanyl23$3,099$135
Lyrica18$2,942$163
Hydrocodone-Acetaminophen80$1,271$16
Gabapentin25$1,217$49
Tramadol37$555$15

Money from drug and device companies

$100 in 2025

Industry payments by year
2025112None$100
202417None$93
202345None$134
202222None$71
202133None$166
201922None$56

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Electronic Waveform LabNone$100
12 payments
  • Meals · 2025-12-15 · $5
  • Meals · 2025-12-01 · $34
  • Meals · 2025-11-12 · $7
  • Meals · 2025-09-11 · $6
  • Meals · 2025-08-27 · $6
  • Meals · 2025-07-17 · $7
  • Meals · 2025-06-12 · $6
  • Meals · 2025-05-07 · $6
  • Meals · 2025-04-16 · $5
  • Meals · 2025-03-18 · $5
  • Meals · 2025-02-25 · $8
  • Meals · 2025-01-21 · $6
See all 12 published payments
Every published payment
Electronic Waveform LabMeals · 2025-12-15None$5
Electronic Waveform LabMeals · 2025-12-01None$34
Electronic Waveform LabMeals · 2025-11-12None$7
Electronic Waveform LabMeals · 2025-09-11None$6
Electronic Waveform LabMeals · 2025-08-27None$6
Electronic Waveform LabMeals · 2025-07-17None$7
Electronic Waveform LabMeals · 2025-06-12None$6
Electronic Waveform LabMeals · 2025-05-07None$6
Electronic Waveform LabMeals · 2025-04-16None$5
Electronic Waveform LabMeals · 2025-03-18None$5
Electronic Waveform LabMeals · 2025-02-25None$8
Electronic Waveform LabMeals · 2025-01-21None$6
See earlier years (2024, 2023, 2022, 2021, 2019)

2024: $93

Payments by company in 2024
Electronic Waveform LabNone$93
7 payments
  • Meals · 2024-11-12 · $6
  • Meals · 2024-09-16 · $33
  • Meals · 2024-08-08 · $7
  • Meals · 2024-07-12 · $6
  • Meals · 2024-07-02 · $5
  • Meals · 2024-06-11 · $30
  • Meals · 2024-02-27 · $6

2023: $134

Payments by company in 2023
PainteqPainteq$72
1 payment
  • Meals for Painteq · 2023-12-11 · $72
Electronic Waveform LabNone$34
2 payments
  • Meals · 2023-11-22 · $29
  • Meals · 2023-09-19 · $6
Collegium PharmaceuticalBelbuca$19
1 payment
  • Meals for Belbuca · 2023-10-18 · $19
Saluda Medical AmericasEvoke Scs$9
1 payment
  • Meals for Evoke Scs · 2023-04-05 · $9

2022: $71

Payments by company in 2022
GRT US HoldingQutenza$45
1 payment
  • Meals for Qutenza · 2022-09-06 · $45
Electronic Waveform LabNone$26
1 payment
  • Meals · 2022-10-12 · $26

2021: $166

Payments by company in 2021
NuVasiveXlif$125
1 payment
  • Meals for Xlif · 2021-11-16 · $125
AbbVieUbrelvy$25
1 payment
  • Meals for Ubrelvy · 2021-02-18 · $25
Electronic Waveform LabNone$16
1 payment
  • Meals · 2021-09-21 · $16

2019: $56

Payments by company in 2019
Relievant MedsystemsIntracept$33
1 payment
  • Meals for Intracept · 2019-09-12 · $33
Abbott LaboratoriesProclaim Family of Scs Ipgs$23
1 payment
  • Meals for Proclaim Family of Scs Ipgs · 2019-12-04 · $23

Professional record

NPI
1841374683
Licence
CA GG80175
Trained
University of California, Davis School of Medicine, 1993
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 208100000X (208100000X)
Mailing address
851 Fremont Ave, Suite 109, Los Altos, CA, 94024
NPI first listed
2006-10-25
NPI last updated
2007-07-09

This is when the NPI record was last certified, not a medical board exam.