Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NV › Las Vegas › NPI 1831296904
Physician

Ortega, Luis

Ortega, Luis was paid $508K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.

33Billing provider infoORTEGA, LUIS
LAS VEGAS, NV 89106
33aNPI1831296904assigned 09/20/2006
28Total paid$508K
24GClaims15,944
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Geriatric Psychiatry Physician providers in Nevada

Rank by total paid#2 of 5
Median peer was paid$278K
This provider vs. median1.8×

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$10K$20K$30K2018201920202021202220232024
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
20185,440$186K
20194,808$117K
20202,288$57K
20212,068$73K
20221,327$74K
202313$579.88
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 54% 8,463 2,400 $274K
99222 Initial hospital care, per day, moderate complexity 17% 1,020 805 $84K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 2,178 1,353 $61K
99238 Hospital discharge day management, 30 minutes or less 7.2% 915 700 $36K
99231 Subsequent hospital care, per day, straightforward or low complexity 5.7% 2,352 775 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.3% 1,003 907 $22K
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 <1% 13 13 $579.88

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.