Martin Reyes, Elba

Martin Reyes, Elba was paid $54K by Medicaid between Jan 2018 and Sep 2023, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 37% of everything it billed.

33Billing provider infoMARTIN REYES, ELBA
GUAYNABO, PR 00968

33aNPI1003808742assigned 08/18/2005

33bProvider typePulmonary Disease Physician

28Total paid$54K

24GClaims2,218

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#31 of 55

Median peer was paid$68K

This provider vs. median0.8×

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
2018	722	$12K
2019	134	$723.06
2020	104	$2K
2021	1,071	$33K
2022	130	$5K
2023	57	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	37%	266	214	$20K
94375		30%	352	280	$16K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.3%	95	24	$5K
94200		7.9%	329	266	$4K
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	5.6%	225	175	$3K
94760		3.9%	711	566	$2K
94729		2.1%	30	25	$1K
99205	Prolong outpt/office vis	1.8%	13	12	$979.64
94150		<1%	154	131	$421.70
94727		<1%	15	12	$417.00
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	28	12	$241.76

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.