Martinez, Kenneth

Martinez, Kenneth was paid $8K by Medicaid between Jun 2019 and Oct 2023, across 4 billing codes. Its largest line is 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 — 83% of everything it billed.

Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#207 of 296

Median peer was paid$50K

This provider vs. median0.2×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	83%	319	319	$6K
99424		9.3%	218	218	$724.48
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	7.8%	330	318	$610.21
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	32	29	$27.16

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.