Ortega, Tulio

Ortega, Tulio was paid $378K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoORTEGA, TULIO
ROCHESTER, NY 14615

33aNPI1114013364assigned 10/05/2006

33bProvider typePsychiatry Physician

28Total paid$378K

24GClaims5,438

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Psychiatry Physician providers in New York

Rank by total paid#82 of 1,033

Median peer was paid$8K

This provider vs. median49×

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	894	$57K
2019	856	$57K
2020	915	$62K
2021	809	$56K
2022	689	$52K
2023	673	$51K
2024incomplete	602	$42K

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	94%	5,083	4,907	$354K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	242	238	$13K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.8%	113	111	$11K

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.