Physician
Cesar a Ortega MD PA
Cesar a Ortega MD PA was paid $6.74M by Medicaid between Jun 2020 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoCESAR A ORTEGA MD PA
HOUSTON, TX 77093
HOUSTON, TX 77093
33aNPI1851908131assigned 09/30/2020
33bProvider typePediatrics Physician
28Total paid$6.74M
24GClaims287,988
24DCodes billed65
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#52 of 1,136
Median peer was paid$329K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2020 | 12,386 | $165K | |
| 2021 | 47,533 | $1.13M | |
| 2022 | 74,542 | $1.83M | |
| 2023 | 84,200 | $1.92M | |
| 2024incomplete | 69,327 | $1.70M |
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 | 16% | 32,675 | 30,040 | $1.11M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 13% | 21,963 | 21,174 | $900K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 10,514 | 10,382 | $854K |
| 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 | 12% | 16,910 | 16,262 | $836K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 9,654 | 8,961 | $803K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 8,347 | 8,049 | $616K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 4,173 | 4,023 | $305K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 15,477 | 7,931 | $214K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 17,998 | 17,379 | $197K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 20,658 | 9,879 | $188K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 8,164 | 7,905 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 4,719 | 4,524 | $111K |
53 more codes
| 99429 | 1.4% | 2,978 | $94K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 11,002 | $82K |
| 99000 | 1.2% | 8,768 | $82K | |
| 99381 | <1% | 429 | $36K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 355 | $27K |
| 0071A | <1% | 535 | $22K | |
| 0072A | <1% | 476 | $19K | |
| 90474 | <1% | 2,047 | $19K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,881 | $18K |
| 96160 | <1% | 9,922 | $16K | |
| 0001A | <1% | 411 | $16K | |
| 0002A | <1% | 339 | $14K | |
| 97169 | <1% | 383 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 130 | $8K |
| 99051 | <1% | 2,140 | $7K | |
| 81002 | <1% | 1,751 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 351 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 882 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | $3K |
| 99383 | <1% | 33 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 245 | $3K |
| 99050 | <1% | 145 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 178 | $1K |
| 90734 | <1% | 1,105 | $105.89 | |
| 94760 | <1% | 132 | $99.93 | |
| 90461 | <1% | 73 | $19.14 | |
| 90619 | <1% | 1,603 | $10.33 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 180 | $7.54 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 180 | $3.26 |
| 90620 | <1% | 2,048 | $0.01 | |
| 90707 | 0% | 559 | $0.00 | |
| 90648 | 0% | 2,922 | $0.00 | |
| 90670 | 0% | 2,597 | $0.00 | |
| 90700 | 0% | 549 | $0.00 | |
| 90633 | 0% | 1,926 | $0.00 | |
| 90715 | 0% | 1,175 | $0.00 | |
| 90710 | 0% | 884 | $0.00 | |
| 91300 | 0% | 728 | $0.00 | |
| G9434 | Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given | 0% | 16 | $0.00 |
| 36416 | 0% | 2,779 | $0.00 | |
| 90716 | 0% | 563 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 33,833 | $0.00 |
| 90677 | 0% | 1,316 | $0.00 | |
| 90680 | 0% | 2,187 | $0.00 | |
| 91307 | 0% | 1,140 | $0.00 | |
| 90723 | 0% | 2,503 | $0.00 | |
| 90686 | 0% | 4,613 | $0.00 | |
| 90651 | 0% | 2,792 | $0.00 | |
| 90696 | 0% | 887 | $0.00 | |
| 90656 | 0% | 541 | $0.00 | |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | 0% | 267 | $0.00 |
| 90647 | 0% | 152 | $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 officialORTEGA, CESAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Houston Pediatric Clinic | Houston, TX | $8.96M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.