Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ortiz, Karen

Ortiz, Karen was paid $11K by Medicaid between Jul 2019 and Oct 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoORTIZ, KAREN
EUGENE, OR 97401
33aNPI1225006091assigned 03/09/2006
33bProvider typePediatrics Physician
28Total paid$11K
24GClaims213
24DCodes billed7
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#70 of 87
Median peer was paid$147K
This provider vs. median0.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019213$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 89 85 $5K
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 22% 32 31 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15% 20 20 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 18 18 $1K
92551 2.2% 25 25 $244.56
90710 2.0% 12 12 $219.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 17 17 $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.