Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dagoberto Martinez, Mdpa

Dagoberto Martinez, Mdpa was paid $4.39M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.

33Billing provider infoDAGOBERTO MARTINEZ, MDPA
BROWNSVILLE, TX 78521
33aNPI1073569059assigned 05/25/2006
28Total paid$4.39M
24GClaims163,603
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#18 of 432
Median peer was paid$103K
This provider vs. median43×

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$50K$100K$150K2018201920202021202220232024
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
20182,136$43K
2019994$17K
20209,468$205K
202138,683$1.01M
202236,565$1.08M
202345,295$1.21M
2024incomplete30,462$833K
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 16% 21,209 16,261 $683K
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 8.8% 8,658 6,528 $386K
81514 8.4% 2,060 1,986 $368K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7.5% 4,294 3,373 $330K
76830 Ultrasound, transvaginal 4.2% 2,052 1,996 $184K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.1% 6,645 6,418 $181K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.1% 6,619 6,394 $180K
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 3.8% 2,165 2,058 $167K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.0% 1,336 1,298 $130K
99000 2.9% 12,402 11,185 $126K
76819 Fetal biophysical profile; without non-stress testing 2.8% 1,940 1,367 $123K
87806 2.4% 4,257 4,110 $108K
60 more codes
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.4% 1,231 $104K
80050 General health panel 2.3% 3,122 $100K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2.0% 1,855 $88K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 1,229 $82K
76801 1.8% 889 $77K
76820 1.6% 2,116 $70K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.6% 1,089 $69K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.4% 905 $62K
81002 1.3% 21,642 $59K
76813 1.3% 642 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 2,478 $50K
87480 1.0% 4,839 $44K
59430 <1% 461 $42K
84443 Thyroid stimulating hormone (TSH) <1% 3,384 $41K
83036 Hemoglobin; glycosylated (A1C) <1% 5,317 $41K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 66 $39K
80055 <1% 1,157 $38K
H1010 Non-medical family planning education, per session <1% 3,013 $34K
80061 Lipid panel <1% 4,046 $34K
81025 <1% 4,408 $30K
99234 <1% 304 $29K
76818 <1% 288 $26K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,026 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,870 $23K
87340 <1% 3,491 $22K
86703 <1% 1,426 $16K
84439 <1% 2,074 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,293 $14K
86592 <1% 4,011 $14K
87481 <1% 376 $10K
80053 Comprehensive metabolic panel <1% 1,337 $9K
59514 <1% 12 $9K
82950 <1% 2,174 $8K
87660 <1% 1,232 $8K
99385 <1% 85 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 389 $5K
82607 <1% 339 $4K
82746 <1% 340 $4K
82728 <1% 327 $4K
83550 <1% 327 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 36 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 24 $2K
83540 <1% 327 $2K
99205 Prolong outpt/office vis <1% 14 $1K
99203 Doctor's office visit, new patient (routine) <1% 25 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 99 $972.81
90686 <1% 61 $929.14
90674 <1% 35 $886.98
82951 <1% 84 $867.60
87150 <1% 24 $786.00
86762 <1% 59 $723.58
86850 <1% 61 $486.11
87510 <1% 45 $482.98
82952 <1% 83 $261.60
83001 <1% 15 $218.54
86900 <1% 60 $153.04
87015 <1% 24 $149.52
86901 <1% 54 $131.87
82948 <1% 18 $47.93
36415 Collection of venous blood by venipuncture 0% 208 $0.00

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.

From NPPES

Who's on the registration

Authorized officialFORE, MARYANN (CHEIF OPERATING OFFICER)