Portilla, Luis

Portilla, Luis was paid $84K by Medicaid between Jan 2018 and Nov 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 36% of everything it billed.

33Billing provider infoPORTILLA, LUIS
FRANKLIN, TN 37067

33aNPI1184655268assigned 07/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$84K

24GClaims2,001

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Tennessee

Rank by total paid#21 of 62

Median peer was paid$26K

This provider vs. median3.2×

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	756	$34K
2019	736	$29K
2020	509	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	36%	599	545	$30K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	596	556	$27K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	32%	806	774	$27K

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.