Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $110 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
844
Rank: 33rd
out of 1,173 providers in this state & specialty
Services
Performed
12,588
Rank: 4th
out of 1,173 providers in this state & specialty
Avg Services
Per Patient
14.9 This Provider is in the top 10%
Avg 4.5
Total Paid
by Medicare
$114K
Rank: 42nd
out of 1,173 providers in this state & specialty
Avg Paid
Per Patient
$135 This Provider
Avg $110

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 33 different services in 2015
(16 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in an office
8,461
times performed,
67% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

60
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$17,175.83an average of $2.03 per time performed $9,307.10
an average of $1.10 per time performed
medical
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in an office
2,314
times performed,
18% of his services

2nd 5th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$1,735.50an average of $0.75 per time performed $1,272.70
an average of $0.55 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
595
times performed,
5% of his services

3rd 2nd

most performed service for this provider most performed service in this state & specialty

591
patients got this service, 70% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$113,645.00an average of $191.00 per time performed $46,302.90
an average of $77.82 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
277
times performed,
2% of his services

4th 4th

most performed service for this provider most performed service in this state & specialty

178
patients got this service, 21% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$24,930.00an average of $90.00 per time performed $13,481.59
an average of $48.67 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
118
times performed,
0.94% of his services

5th 6th

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$15,340.00an average of $130.00 per time performed $8,769.76
an average of $74.32 per time performed
medical
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92225
Performed in an office
114
times performed,
0.91% of his services

6th 16th

most performed service for this provider most performed service in this state & specialty

108
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,804.00an average of $86.00 per time performed $3,760.86
an average of $32.99 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
94
times performed,
0.75% of his services

7th 12th

most performed service for this provider most performed service in this state & specialty

75
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$4,982.00an average of $53.00 per time performed $2,624.48
an average of $27.92 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
90
times performed,
0.71% of his services

8th 10th

most performed service for this provider most performed service in this state & specialty

90
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,300.00an average of $70.00 per time performed $2,720.70
an average of $30.23 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits ×

Service Code: 92004
Performed in an office
87
times performed,
0.69% of his services

9th 8th

most performed service for this provider most performed service in this state & specialty

87
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,010.00an average of $230.00 per time performed $7,386.30
an average of $84.90 per time performed
medical
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
72
times performed,
0.57% of his services

10th 7th

most performed service for this provider most performed service in this state & specialty

71
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,640.00an average of $120.00 per time performed $4,065.12
an average of $56.46 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
61
times performed,
0.48% of his services

11th 9th

most performed service for this provider most performed service in this state & specialty

57
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,710.00an average of $110.00 per time performed $2,611.41
an average of $42.81 per time performed
medical
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
52
times performed,
0.41% of his services

12th 31st

most performed service for this provider most performed service in this state & specialty

52
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,460.00an average of $105.00 per time performed $3,060.20
an average of $58.85 per time performed
medical
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
39
times performed,
0.31% of his services

13th 11th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,730.00an average of $70.00 per time performed $1,229.28
an average of $31.52 per time performed
medical
MEDICINE

Examination of cornea and iris using lens device and slit... +

Examination of cornea and iris using lens device and slit lamp ×

Service Code: 92020
Performed in an office
19
times performed,
0.15% of his services

14th 22nd

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,254.00an average of $66.00 per time performed $351.69
an average of $18.51 per time performed
medical
EYE

Dilation of tear-drainage opening

Service Code: 68801
Performed in an office
15
times performed,
0.12% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$2,325.00an average of $155.00 per time performed $1,608.90
an average of $107.26 per time performed
medical
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92226
Performed in an office
12
times performed,
0.1% of his services

16th 14th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,032.00an average of $86.00 per time performed $319.68
an average of $26.64 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
11
times performed,
0.09% of his services

17th 18th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,255.00an average of $205.00 per time performed $1,307.57
an average of $118.87 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Timothy P Ortiz
Average for Optometrist Providers in Illinois

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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