Ortman, Grace
Ortman, Grace was paid $139K by Medicaid between Aug 2020 and Dec 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 58% of everything it billed.
33Billing provider infoORTMAN, GRACE
DEKALB, IL 60115
DEKALB, IL 60115
33aNPI1215391099assigned 04/07/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$139K
24GClaims2,502
24DCodes billed5
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#178 of 981
Median peer was paid$27K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 418 | $19K | |
| 2021 | 819 | $41K | |
| 2022 | 386 | $16K | |
| 2023 | 346 | $20K | |
| 2024incomplete | 533 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 58% | 1,289 | 1,182 | $81K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19% | 295 | 284 | $27K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 529 | 454 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 375 | 363 | $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% | 14 | 14 | $611.26 |
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.