Martinez, Francisco

Martinez, Francisco was paid $77K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 50% of everything it billed.

33Billing provider infoMARTINEZ, FRANCISCO
FREEPORT, NY 11520

33aNPI1134293624assigned 11/17/2006

33bProvider typePediatrics Physician

28Total paid$77K

24GClaims11,254

24DCodes billed30

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#736 of 1,983

Median peer was paid$17K

This provider vs. median4.6×

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	1,342	$24K
2019	1,888	$16K
2020	1,309	$7K
2021	2,410	$8K
2022	1,018	$5K
2023	2,566	$13K
2024incomplete	721	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	50%	1,504	1,486	$39K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	36%	1,580	1,442	$28K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.4%	61	61	$2K
92551		2.2%	670	670	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	66	66	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.8%	150	149	$1K
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	1.4%	13	13	$1K
G8420	Bmi is documented within normal parameters and no follow-up plan is required	1.3%	623	589	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.2%	27	27	$947.30
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	64	64	$755.10
36415	Collection of venous blood by venipuncture	<1%	1,123	1,112	$195.69
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	700	652	$180.00

18 more codes

97802		<1%	786	$125.52
90686		<1%	442	$94.65
99173		<1%	468	$38.90
83655		<1%	267	$1.88
3725F		0%	86	$0.00
90461		0%	138	$0.00
90670		0%	18	$0.00
G8482	Influenza immunization administered or previously received	0%	173	$0.00
G9820	Documentation of a chlamydia screening test with proper follow-up	0%	14	$0.00
99080		0%	766	$0.00
90710		0%	12	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	14	$0.00
3008F		0%	1,351	$0.00
1000F		0%	32	$0.00
1036F		0%	63	$0.00
99174		0%	15	$0.00
90680		0%	14	$0.00
90697		0%	14	$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.