ANTHONY ORTEGON, MD
Critical Care Medicine (Internal Medicine) Physician · DALLAS, TX
Individual Active NPI 1356550354
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 260 | 874 | $737,295 | $101,996 | $80,527 |
| 2023 | 258 | 920 | $756,976 | $104,960 | $82,747 |
| 2022 | 290 | 1,248 | $996,548 | $143,096 | $112,943 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 225 | $206 | $164 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 108 | $114 | $91 |
| 94010 | Test to measure expiratory airflow and volume | 83 | $26 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $126 | $91 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 38 | $178 | $140 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | $169 | $134 |
| 94729 | Test to examine how well the lungs exchange gases | 27 | $35 | $28 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 25 | $29 | $23 |
| 99292 | Critical care, each additional 30 minutes | 21 | $104 | $83 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | $77 | $61 |
| 31629 | Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 16 | $162 | $129 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 15 | $216 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | N0331 | TX |
| Pulmonary Disease Physician | 207RP1001X | N0331 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.