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CMS public data · NPI 1295938728

Dr. Jose A Ramirez-Deltoro: Medicare prescribing and billing data

CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.

CMS display name

Jose A Ramirez-Deltoro, MD

Credential

MD

NPI

1295938728

Primary source state

PA

Data retrieval date

July 28, 2026

Where these numbers come from, and what they cannot tell you

Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.

How should you read this Doctor page?

This page shows Medicare billing and Part D prescribing data for Jose A Ramirez-Deltoro, MD from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.

A licensed agent, not a call center

Do your doctors and prescriptions fit before you enroll?

Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.

What Medicare source indicators are listed for this NPI?

Medicare participating

Yes

Individual assignment

Yes

Group assignment

Yes

CMS opt-out records

0

Which practice locations appear in CMS files?

When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.

Medicare billing address

CMS Medicare provider billing file

2000 Oxford Dr Ste 211
Bethel Park, PA 15102

SOUTH HILLS ORTHOPAEDIC SURGERY ASSOCIATES, PC

CMS Doctors & Clinicians file

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102

(412) 283-0260

PHOENIX REHABILITATION AND HEALTH SERVICES INC

CMS Doctors & Clinicians file

2000 Westinghouse Dr
Suite 200
Cranberry Twp, PA 16066

What does the Medicare billing file show?

In the 2024 CMS provider billing file, this NPI had 600 Medicare beneficiaries and 14,862 total services. The average beneficiary age was 74, and the average HCC risk score was 0.9.

Total Medicare allowed amount

$281,759.10

Total Medicare payment amount

$206,520.28

Medicare beneficiaries

600

Total services

14,862

Which patient-panel condition fields does CMS report?

These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.

Hyperlipidemia

75%

CMS beneficiary-panel share

Hypertension

67%

CMS beneficiary-panel share

Anxiety

25%

CMS beneficiary-panel share

Diabetes

24%

CMS beneficiary-panel share

Mood disorders

22%

CMS beneficiary-panel share

Depression

20%

CMS beneficiary-panel share

Where these service numbers come from, and what they cannot tell you

Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.

Which Medicare services appear most often?

Highest-volume Medicare services, 2024 reporting year
CMS service descriptionServicesAvg allowed
Injection, methylprednisolone acetate, 1 mg8,120$0.13
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml805$0.37
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg664$6.85
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more601$120.85
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose280$124.69
Aspiration and/or injection of fluid from large joint260$71.85
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more206$85.43
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more147$158.61
Aspiration and/or injection of fluid large joint using ultrasound guidance117$102.48
Fluoroscopic guidance for needle placement107$106.56

Where these Part D numbers come from, and what they cannot tell you

CMS data reports historical prescription drug events attributed to NPI 1295938728. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.

Which drugs did Jose A Ramirez-Deltoro, MD prescribe most often under Medicare Part D?

Top 10 Medicare Part D drugs for NPI 1295938728, ranked by total claims in the CMS 2024 provider-and-drug file
RankDrugGeneric nameTotal claims30-day fillsTotal drug cost
1Tramadol HclTramadol Hcl181185$711.55
2CelecoxibCelecoxib157204$1,976.67
3GabapentinGabapentin145180$1,526.37
4Cyclobenzaprine HclCyclobenzaprine Hcl5055$142.35
5PregabalinPregabalin2931$183.40
6MethylprednisoloneMethylprednisolone2626$178.70
7IbuprofenIbuprofen1919$194.92
8MeloxicamMeloxicam1632$40.58
9MethocarbamolMethocarbamol1414$98.97
10Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1212$144.73

CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.

What background fields does CMS report?

Graduation year

2003

Group/practice field

South Hills Orthopaedic Surgery Associates, Pc

Telehealth reported

Not reported

Secondary specialty fields reported by CMS: Interventional Pain Management.

What can this data not tell us?

  • Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
  • Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
  • CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
  • CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
  • Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.

What should you verify separately?

Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.

Which CMS sources support this page?

The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.

What caveats apply to this page?
  • CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
  • Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.