Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1033307863assigned 10/05/2007
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,357$49K
20191,692$59K
20201,564$54K
20211,434$55K
20221,553$58K
20231,246$52K
2024incomplete1,174$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.