Clinic
Joseph R Martel MD INC
Joseph R Martel MD INC was paid $20K by Medicaid between Jan 2018 and Sep 2019, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.
33Billing provider infoJOSEPH R MARTEL MD INC
RANCHO CORDOVA, CA 95670
RANCHO CORDOVA, CA 95670
33aNPI1023161122assigned 01/19/2007
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$20K
24GClaims1,092
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#254 of 347
Median peer was paid$191K
This provider vs. median0.1×
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 | 667 | $12K | |
| 2019 | 425 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 52% | 292 | 292 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 173 | 173 | $3K |
| 92015 | Determination of refractive state | 16% | 441 | 441 | $3K |
| V2020 | Frames, purchases | 14% | 150 | 150 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 12 | 12 | $243.96 |
| 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 | 0% | 24 | 24 | $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.
From NPPES
Who's on the registration
Authorized officialMARTEL, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Martel Eye Institute LLC | Rancho Cordova, CA | $1.45M |
| Joseph R. Martel, M.D. INC | Rancho Cordova, CA | $530K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.