Clinic
Ortega Wellness
Ortega Wellness was paid $1.81M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoORTEGA WELLNESS
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1013464379assigned 09/04/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$1.81M
24GClaims27,169
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Mexico
Rank by total paid#6 of 31
Median peer was paid$263K
This provider vs. median6.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,363 | $76K | |
| 2019 | 4,306 | $224K | |
| 2020 | 4,235 | $271K | |
| 2021 | 5,187 | $315K | |
| 2022 | 5,333 | $359K | |
| 2023 | 3,121 | $283K | |
| 2024incomplete | 2,624 | $277K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 73% | 14,304 | 13,132 | $1.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,544 | 4,161 | $248K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.2% | 689 | 683 | $94K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 325 | 302 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 2,122 | 1,766 | $34K |
| 99205 | Prolong outpt/office vis | 1.1% | 122 | 122 | $20K |
| 93922 | <1% | 210 | 207 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 143 | 138 | $12K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 433 | 421 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 248 | 198 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,349 | 2,295 | $9K |
| 80305 | <1% | 244 | 236 | $2K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialORTEGA, MONICA (OWNER)