Janer-Martinez, Walter

Janer-Martinez, Walter was paid $44K by Medicaid between Feb 2018 and Aug 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoJANER-MARTINEZ, WALTER
BAYAMON, PR 00961

33aNPI1134122625assigned 05/27/2005

33bProvider typeGastroenterology Physician

28Total paid$44K

24GClaims1,034

24DCodes billed5

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#57 of 107

Median peer was paid$47K

This provider vs. median0.9×

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	211	$5K
2019	180	$4K
2020	187	$5K
2021	123	$4K
2022	31	$1K
2023	220	$17K
2024incomplete	82	$7K

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	53%	528	495	$23K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	192	169	$9K
99441		18%	269	222	$8K
99223	Prolong inpt eval add15 m	6.9%	24	17	$3K
99070		<1%	21	13	$270.00

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.