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    OpenPayerNPI Medicare & MedicaidSamuel Ortega
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    Samuel Ortega — Billing Profile & Reimbursement Data

    NPI 1760909287 · Melrose Park, IL · Certified Registered Nurse Anesthetist

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    Samuel Ortega is a certified registered nurse anesthetist provider located in Melrose Park, Illinois. This profile covers 5 Medicare and 1 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
    OrganizationSamuel Ortega
    Address701 W North Ave
    CityMelrose Park
    StateIL
    ZIP60160
    TaxonomyCertified Registered Nurse Anesthetist
    NPI EnumeratedAugust 25, 2017

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

    Payer SourceTotal Paid
    Medicare$32.9K
    Medicaid$1.5K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.90$140$12.2K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.80$150$11.6K
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.70$90$6.9K
    01400The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure on the knee joint.10$110$1.5K
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…20$50$800

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    001422111,12030$80$4.6K
    014021356020$180$4.2K
    01214224020$180$3.6K
    01400184010$100$1.6K
    6444717734020$50$1.2K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.10$120$1.5K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.687030$80$14.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John LeeILAnatomic Pathology & Clinical Pathology Physician$104.2K$1.5M
    Kenneth BeckILAnatomic Pathology & Clinical Pathology Physician$1.6M$210
    Thomas MientusILAnatomic Pathology & Clinical Pathology Physician$1.1M$133K
    David MendozaWIAnatomic Pathology & Clinical Pathology Physician$927K$5.2K
    Donald PennILGastroenterology Physician$454.8K$4.4K
    Scott WuTXGastroenterology Physician$402.4K$7.6K
    Adam GluskinILInternal Medicine Physician$397K$3.1K
    Mitchell BernsenILGastroenterology Physician$388.8K$0
    Michael DasticeILGastroenterology Physician$162.6K$147.7K
    Arpeet ShahILSurgery Physician$288.1K$3.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presence Behavioral HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$10.3M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$6.7M
    Peyman PahlavanILFamily Medicine Physician$102.1K$5.6M
    Mary UckermanILAnatomic Pathology & Clinical Pathology Physician$33.5K$4.2M
    Youngwoo LimILDentist$0$3.4M
    Village Of Melrose ParkILAmbulance$162.4K$3.2M
    Sat Pyol LeeILGeneral Practice Dentistry$0$2.8M
    Tracy CampbellILDermatology Physician$1.4M$0
    John WilsonILNeurology Physician$245.2K$649.5K
    David KrackerILNephrology Physician$249.6K$528K

    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
    Samuel Ortega — 2 of 5 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Samuel Ortega — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois