Martinez, Carlos

Martinez, Carlos was paid $548K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.

33Billing provider infoMARTINEZ, CARLOS
HINSDALE, IL 60521

33aNPI1023097706assigned 01/11/2006

33bProvider typeEmergency Medicine Physician

28Total paid$548K

24GClaims8,710

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#112 of 1,980

Median peer was paid$150K

This provider vs. median3.6×

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	1,022	$41K
2019	1,298	$53K
2020	1,443	$81K
2021	1,490	$101K
2022	1,290	$89K
2023	1,197	$97K
2024incomplete	970	$86K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	51%	3,387	3,110	$278K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	3,281	2,993	$200K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	2,029	1,806	$70K
93042		<1%	13	12	$51.60

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.