Physician
Martin, Michael
Martin, Michael was paid $92K by Medicaid between Apr 2019 and Dec 2020, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoMARTIN, MICHAEL
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1013220292assigned 07/16/2010
33bProvider typeFamily Medicine Physician
28Total paid$92K
24GClaims7,857
24DCodes billed30
24AFirst – last monthApr 2019 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#255 of 754
Median peer was paid$34K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2019 | 7,140 | $75K | |
| 2020 | 717 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,086 | 513 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 496 | 281 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 240 | 99 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.2% | 573 | 245 | $8K |
| 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 | 7.8% | 258 | 125 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.6% | 652 | 302 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.1% | 448 | 210 | $5K |
| 96161 | 3.2% | 347 | 200 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 147 | 57 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 69 | 69 | $2K |
| 90474 | 1.4% | 220 | 110 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $884.70 |
18 more codes
| 81025 | <1% | 282 | $655.20 | |
| 90686 | <1% | 65 | $291.78 | |
| 36416 | <1% | 261 | $125.49 | |
| 87210 | <1% | 55 | $112.47 | |
| 81001 | <1% | 260 | $104.71 | |
| 92551 | <1% | 38 | $84.78 | |
| 85018 | <1% | 74 | $78.28 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $59.97 |
| 36415 | Collection of venous blood by venipuncture | <1% | 109 | $32.91 |
| 81003 | <1% | 37 | $19.26 | |
| 81002 | <1% | 198 | $6.66 | |
| 99000 | 0% | 406 | $0.00 | |
| 90723 | 0% | 158 | $0.00 | |
| 90680 | 0% | 220 | $0.00 | |
| 0502F | 0% | 475 | $0.00 | |
| 90670 | 0% | 338 | $0.00 | |
| 90633 | 0% | 68 | $0.00 | |
| 90648 | 0% | 250 | $0.00 |
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.