Physician
Ortega, Romulo
Ortega, Romulo was paid $163K by Medicaid between Jan 2018 and Dec 2019, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoORTEGA, ROMULO
LOVES PARK, IL 61111
LOVES PARK, IL 61111
33aNPI1194835389assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$163K
24GClaims3,737
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#606 of 1,805
Median peer was paid$55K
This provider vs. median3.0×
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 | 1,769 | $79K | |
| 2019 | 1,968 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,376 | 1,245 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 377 | 335 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 323 | 292 | $22K |
| 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% | 322 | 296 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 128 | 125 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 105 | 101 | $8K |
| 90686 | 1.7% | 346 | 313 | $3K | |
| 90670 | 1.2% | 220 | 211 | $2K | |
| 90698 | <1% | 212 | 188 | $2K | |
| 90651 | <1% | 65 | 62 | $1K | |
| 90734 | <1% | 76 | 75 | $945.60 | |
| 90680 | <1% | 98 | 86 | $845.39 |
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.