Physician
Martinez, Agustin
Martinez, Agustin was paid $168K by Medicaid between Jan 2018 and Nov 2023, across 43 billing codes. Its largest line is 99335, — 55% of everything it billed.
33Billing provider infoMARTINEZ, AGUSTIN
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1194762427assigned 06/02/2006
33bProvider typeGeneral Practice Physician
28Total paid$168K
24GClaims36,617
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#98 of 420
Median peer was paid$23K
This provider vs. median7.5×
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 | 9,656 | $15K | |
| 2019 | 10,866 | $33K | |
| 2020 | 7,527 | $28K | |
| 2021 | 2,368 | $24K | |
| 2022 | 2,597 | $27K | |
| 2023 | 3,603 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99335 | 55% | 2,813 | 2,690 | $92K | |
| 99349 | 15% | 306 | 280 | $25K | |
| 99348 | 10% | 383 | 302 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 4,577 | 1,172 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 1,771 | 1,656 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 110 | 109 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 726 | 635 | $3K |
| 99336 | <1% | 19 | 18 | $946.00 | |
| 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% | 27 | 26 | $791.28 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | 26 | $488.44 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 115 | 109 | $416.28 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 744 | 693 | $146.77 |
31 more codes
| 99490 | Ccm add 20min | <1% | 4,763 | $8.99 |
| 1170F | 0% | 1,090 | $0.00 | |
| 2000F | 0% | 2,496 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 330 | $0.00 |
| 3074F | 0% | 2,878 | $0.00 | |
| 1101F | 0% | 622 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 172 | $0.00 |
| 1036F | 0% | 408 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,948 | $0.00 |
| 82962 | 0% | 166 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 56 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 212 | $0.00 |
| 1125F | 0% | 201 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 206 | $0.00 |
| 4010F | 0% | 197 | $0.00 | |
| 1123F | 0% | 42 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 234 | $0.00 |
| 3044F | 0% | 24 | $0.00 | |
| 1126F | 0% | 139 | $0.00 | |
| 3078F | 0% | 2,831 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,731 | $0.00 |
| 0518F | 0% | 760 | $0.00 | |
| 3288F | 0% | 880 | $0.00 | |
| 1100F | 0% | 37 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 302 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,933 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 110 | $0.00 |
| 90756 | 0% | 174 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 29 | $0.00 |
| 3725F | 0% | 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.