De Martini, Tony

De Martini, Tony was paid $34K by Medicaid between Apr 2019 and Aug 2023, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 47% of everything it billed.

33Billing provider infoDE MARTINI, TONY
SPRINGFIELD, IL 62702

33aNPI1174604631assigned 10/18/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$34K

24GClaims500

24DCodes billed6

24AFirst – last monthApr 2019 – Aug 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in Illinois

Rank by total paid#351 of 678

Median peer was paid$36K

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
2019	184	$15K
2021	298	$19K
2023	18	$192.68

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	47%	121	65	$16K
93454		27%	44	30	$9K
93000		14%	228	133	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.3%	71	45	$3K
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	2.2%	18	12	$734.68
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	18	17	$192.68

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.