Martinez, Susan
Martinez, Susan was paid $19K by Medicaid between Feb 2018 and Sep 2018, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoMARTINEZ, SUSAN
HEMET, CA 92543
HEMET, CA 92543
33aNPI1033293238assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims802
24DCodes billed6
24AFirst – last monthFeb 2018 – Sep 2018
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,008 of 1,899
Median peer was paid$23K
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 | 802 | $19K |
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 | 48% | 233 | 221 | $9K |
| V2020 | Frames, purchases | 17% | 148 | 140 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 146 | 138 | $3K |
| 92015 | Determination of refractive state | 10% | 242 | 228 | $2K |
| 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 | 6.5% | 18 | 18 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 15 | 14 | $356.40 |
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.