Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARTINEZ, KENNETH

NPI: 1093825259 · ALISO VIEJO, CA 92656 · Neurology Physician · NPI assigned 08/30/2006

$8K
Total Medicaid Paid
899
Total Claims
884
Beneficiaries
4
Codes Billed
2019-06
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 32 $27.16
2020 385 $7K
2021 117 $299.56
2022 195 $541.62
2023 170 $327.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G2064 Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 319 319 $6K
99424 218 218 $724.48
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 330 318 $610.21
99215 Prolong outpt/office vis 32 29 $27.16