NP / PA
Ortego Healthcare LLC
Ortego Healthcare LLC was paid $1.91M by Medicaid between Dec 2019 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoORTEGO HEALTHCARE LLC
OPELOUSAS, LA 70570
OPELOUSAS, LA 70570
33aNPI1750931945assigned 09/19/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$1.91M
24GClaims60,192
24DCodes billed30
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Louisiana
Rank by total paid#11 of 254
Median peer was paid$4K
This provider vs. median510×
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 | |
|---|---|---|---|
| 2019 | 31 | $462.33 | |
| 2020 | 10,308 | $307K | |
| 2021 | 15,731 | $335K | |
| 2022 | 11,756 | $404K | |
| 2023 | 11,816 | $456K | |
| 2024incomplete | 10,550 | $408K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 16,159 | 11,643 | $1.51M |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.1% | 1,580 | 1,306 | $98K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.1% | 2,225 | 1,813 | $78K |
| 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 | 3.9% | 5,298 | 3,998 | $75K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 8,706 | 7,251 | $58K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 2,801 | 2,337 | $51K |
| 95117 | <1% | 4,942 | 2,501 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,062 | 2,089 | $8K |
| 94010 | <1% | 508 | 332 | $6K | |
| 95115 | <1% | 2,660 | 1,302 | $4K | |
| 96401 | <1% | 863 | 641 | $2K | |
| 94664 | <1% | 406 | 318 | $2K |
18 more codes
| 99051 | <1% | 92 | $1K | |
| 94060 | <1% | 52 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 201 | $956.20 |
| 94760 | <1% | 7,871 | $868.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 76 | $199.43 |
| 0002A | <1% | 69 | $37.08 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 61 | $35.23 |
| 96127 | 0% | 356 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 166 | $0.00 |
| C9399 | Unclassified drugs or biologicals | 0% | 374 | $0.00 |
| 0001A | 0% | 108 | $0.00 | |
| 90686 | 0% | 89 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 69 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 34 | $0.00 |
| 91300 | 0% | 223 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 99 | $0.00 |
| 96160 | 0% | 21 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialORTEGO, TIM (OWNER)