Physician
Martinez, Ricardo
Martinez, Ricardo was paid $386K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoMARTINEZ, RICARDO
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1033307863assigned 10/05/2007
33bProvider typeFamily Medicine Physician
28Total paid$386K
24GClaims10,020
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#275 of 2,947
Median peer was paid$43K
This provider vs. median9.1×
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 | 1,357 | $49K | |
| 2019 | 1,692 | $59K | |
| 2020 | 1,564 | $54K | |
| 2021 | 1,434 | $55K | |
| 2022 | 1,553 | $58K | |
| 2023 | 1,246 | $52K | |
| 2024incomplete | 1,174 | $59K |
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 | 54% | 5,063 | 4,363 | $210K |
| 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 | 36% | 2,401 | 2,109 | $139K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 181 | 153 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 132 | 118 | $11K |
| 90686 | 1.8% | 469 | 410 | $7K | |
| 85018 | <1% | 820 | 674 | $2K | |
| 81003 | <1% | 663 | 552 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $1K |
| 81002 | <1% | 103 | 73 | $267.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 84 | 38 | $259.10 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 13 | $88.20 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 32 | 14 | $68.88 |
1 more codes
| 36416 | <1% | 46 | $24.60 |
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.