Ortega, Kelly
Ortega, Kelly was paid $503K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoORTEGA, KELLY
EVANSTON, IL 60201
EVANSTON, IL 60201
33aNPI1306220793assigned 07/15/2015
33bProvider typeRegistered Nurse
28Total paid$503K
24GClaims8,049
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Nurse providers in Illinois
Rank by total paid#14 of 486
Median peer was paid$19K
This provider vs. median26×
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 | 815 | $28K | |
| 2019 | 2,239 | $134K | |
| 2020 | 2,257 | $138K | |
| 2021 | 1,687 | $101K | |
| 2022 | 225 | $18K | |
| 2023 | 381 | $34K | |
| 2024incomplete | 445 | $51K |
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 | 50% | 5,006 | 3,880 | $251K |
| 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 | 23% | 1,301 | 1,032 | $117K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 22% | 891 | 677 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 532 | 470 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 278 | 183 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 17 | 14 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | 22 | $334.56 |
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.