Physician
Martins, Hayley
Martins, Hayley was paid $110K by Medicaid between Jan 2020 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoMARTINS, HAYLEY
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1023375433assigned 04/23/2012
33bProvider typePediatrics Physician
28Total paid$110K
24GClaims2,208
24DCodes billed12
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#709 of 1,805
Median peer was paid$55K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 247 | $9K | |
| 2021 | 637 | $32K | |
| 2022 | 497 | $23K | |
| 2023 | 515 | $27K | |
| 2024incomplete | 312 | $19K |
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 | 63% | 1,614 | 1,346 | $70K |
| 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 | 18% | 237 | 223 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 72 | 65 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 55 | 54 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.7% | 28 | 28 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 56 | 52 | $2K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.3% | 19 | 18 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 15 | 14 | $1K |
| 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 | 1.0% | 16 | 13 | $1K |
| 90686 | <1% | 64 | 59 | $566.24 | |
| 90647 | <1% | 16 | 12 | $265.88 | |
| 90670 | <1% | 16 | 12 | $263.40 |
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.