Martin, Elaine

Martin, Elaine was paid $21K by Medicaid between Jan 2018 and Dec 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoMARTIN, ELAINE
LOUISVILLE, KY 40202

33aNPI1134103096assigned 12/05/2005

33bProvider typePediatrics Physician

28Total paid$21K

24GClaims1,098

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#92 of 156

Median peer was paid$41K

This provider vs. median0.5×

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	431	$6K
2019	667	$15K

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	57%	308	306	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	16%	38	38	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	15%	337	337	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.8%	12	12	$1K
90688		4.3%	96	96	$909.84
99173		2.0%	13	13	$420.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	26	26	$177.82
90686		<1%	49	49	$38.06
81025		<1%	14	13	$22.10
3008F		0%	160	160	$0.00
2014F		0%	45	45	$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.