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    OpenPayerNPI Medicare & MedicaidTimothy Ortiz
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    Timothy Ortiz — Billing Profile & Reimbursement Data

    NPI 1710038690 · Morris, IL · Optometrist

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    Timothy Ortiz is a optometrist provider located in Morris, Illinois. This profile covers 17 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Ortiz
    Address880 Bedford Rd
    CityMorris
    StateIL
    ZIP60450
    TaxonomyOptometrist
    NPI EnumeratedJanuary 16, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$120.2K
    Medicaid$24.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…610$70$44.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…320$60$18.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…180$80$14.5K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…9,750$1$9.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$90$9.6K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…210$20$5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.3,420$1$3.4K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.120$30$3.2K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…120$20$2.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$40$2.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669844570360$70$97.8K
    920142071,420130$80$24.7K
    992146,64718,540110$80$17.1K
    66821437050$70$16.4K
    92012525670100$60$12.4K
    921344051,08080$30$9K
    992132,05017,39070$60$8.8K
    9200416099040$100$6.3K
    92136249320130$30$5.4K
    922014711060$20$4.8K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.700$20$12.6K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…270$40$10.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$50$2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…7491,230450$40$54.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.9131,110310$50$45.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.6241,200750$20$35.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Timothy Ortiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert MariniILPediatric Optometrist$33.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Timothy Ortiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahmad AghaILPulmonary Disease Physician$909.2K$549.3K
    Deerpath Ambulatory Surgical Center, LLCILAmbulatory Surgical Clinic/Center$718.7K$0
    Katrina BerresILFamily Nurse Practitioner$196.2K$478.7K
    Atiq RehmanILInterventional Pain Medicine Physician$341.3K$115.2K
    Richard RotnickiILGastroenterology Physician$299.7K$144.8K
    Sunil ShroffILClinical Cardiac Electrophysiology Physician$334.2K$51.5K
    Richard SymanskiILDiagnostic Radiology Physician$133.9K$169.1K
    Michael JachecILDiagnostic Radiology Physician$103.3K$156.2K
    Mir AliILOrthopaedic Surgery of the Spine Physician$134.7K$64.5K
    Ommar HlaILRadiation Oncology Physician$186.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Timothy Ortiz — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Timothy Ortiz — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois