Martinez, Miguel

Martinez, Miguel was paid $49K by Medicaid between Mar 2018 and Jan 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoMARTINEZ, MIGUEL
DANVERS, MA 01923

33aNPI1063558427assigned 01/30/2007

33bProvider typeFamily Medicine Physician

28Total paid$49K

24GClaims880

24DCodes billed5

24AFirst – last monthMar 2018 – Jan 2023

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#231 of 744

Median peer was paid$10K

This provider vs. median4.7×

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	69	$4K
2019	189	$11K
2020	328	$19K
2021	204	$11K
2022	78	$4K
2023	12	$659.64

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	84%	758	749	$41K
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	11%	69	69	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	29	29	$978.79
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.7%	12	12	$833.19
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	12	12	$373.82

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.