NP / PA
Scotty Ortega MD LLP
Scotty Ortega MD LLP was paid $400K by Medicaid between Apr 2018 and Dec 2024, across 28 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 48% of everything it billed.
33Billing provider infoSCOTTY ORTEGA MD LLP
ODESSA, TX 79765
ODESSA, TX 79765
33aNPI1194015297assigned 04/11/2011
33bProvider typeNurse Practitioner
28Total paid$400K
24GClaims49,018
24DCodes billed28
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Texas
Rank by total paid#27 of 142
Median peer was paid$25K
This provider vs. median16×
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 | 3,375 | $3K | |
| 2019 | 4,930 | $33K | |
| 2020 | 9,002 | $49K | |
| 2021 | 8,704 | $114K | |
| 2022 | 6,704 | $72K | |
| 2023 | 7,857 | $61K | |
| 2024incomplete | 8,446 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 48% | 32,947 | 16,551 | $193K |
| 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 | 14% | 3,042 | 2,609 | $56K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 588 | 560 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.8% | 3,294 | 2,303 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 3,259 | 568 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 1,495 | 1,367 | $20K |
| 99223 | Prolong inpt eval add15 m | 4.2% | 354 | 334 | $17K |
| 99307 | 1.5% | 1,277 | 1,009 | $6K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 351 | 323 | $4K |
| 99305 | <1% | 135 | 130 | $2K | |
| 99318 | <1% | 65 | 64 | $379.98 | |
| 90661 | <1% | 15 | 15 | $78.30 |
16 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $39.15 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 123 | $34.49 |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 291 | $29.14 |
| 90756 | <1% | 36 | $25.11 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 178 | $16.01 |
| 99490 | Ccm add 20min | 0% | 200 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 16 | $0.00 |
| 99487 | Ccm add 20min | 0% | 418 | $0.00 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 82 | $0.00 |
| 99496 | 0% | 13 | $0.00 | |
| 99439 | 0% | 161 | $0.00 | |
| 99489 | Ccm add 20min | 0% | 290 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 216 | $0.00 |
| 99335 | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 105 | $0.00 |
| 90686 | 0% | 18 | $0.00 |
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, SCOTTY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Scotty Ortega PA | Odessa, TX | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.