Martinez, Edilberto

Martinez, Edilberto was paid $1.42M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 73% of everything it billed.

33Billing provider infoMARTINEZ, EDILBERTO
BAYAMON, PR 00961

33aNPI1073594404assigned 11/11/2005

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$1.42M

24GClaims17,548

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Puerto Rico

Rank by total paid#3 of 6

Median peer was paid$1.36M

This provider vs. median1.0×

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	2,542	$148K
2019	2,584	$178K
2020	2,739	$202K
2021	2,698	$222K
2022	1,939	$167K
2023	2,116	$200K
2024incomplete	2,930	$302K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	73%	8,345	7,327	$1.03M
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	17%	4,007	3,404	$240K
99244	Office or other outpatient consultation, moderate to high complexity	10%	5,143	4,550	$143K
76825		<1%	12	12	$2K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	17	15	$1K
76827		<1%	12	12	$774.77
93325		<1%	12	12	$624.52

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.