Martinez Fernandez, Nitza

Martinez Fernandez, Nitza was paid $13K by Medicaid between Jan 2018 and Jun 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.

33Billing provider infoMARTINEZ FERNANDEZ, NITZA
ARECIBO, PR 00616

33aNPI1164575668assigned 01/19/2007

33bProvider typeGeneral Practice Physician

28Total paid$13K

24GClaims486

24DCodes billed12

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#382 of 1,195

Median peer was paid$2K

This provider vs. median6.3×

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	486	$13K

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	96%	266	210	$12K
3078F		1.3%	36	32	$166.60
3048F		<1%	27	26	$127.40
3074F		<1%	16	13	$117.60
1158F		<1%	14	13	$54.88
1157F		<1%	14	13	$54.88
1159F		0%	14	13	$0.00
1160F		0%	14	13	$0.00
1170F		0%	15	14	$0.00
3017F		0%	33	30	$0.00
3008F		0%	23	21	$0.00
3061F		0%	14	13	$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.