Gortowski, Deborah

Gortowski, Deborah was paid $241K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoGORTOWSKI, DEBORAH
DIXON, IL 61021

33aNPI1679558886assigned 12/09/2005

33bProvider typePediatric Nurse Practitioner

28Total paid$241K

24GClaims5,138

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Illinois

Rank by total paid#23 of 238

Median peer was paid$38K

This provider vs. median6.4×

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	490	$26K
2019	486	$24K
2020	188	$8K
2021	554	$30K
2022	799	$36K
2023	1,499	$60K
2024incomplete	1,122	$57K

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	54%	2,734	2,512	$131K
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%	791	729	$54K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.3%	219	197	$15K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.6%	144	131	$11K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.4%	494	445	$8K
96127		3.3%	468	415	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.2%	65	59	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.3%	55	42	$3K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	14	13	$2K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	45	43	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	15	14	$930.69
90686		<1%	94	82	$480.05

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.