Physician
Martin, Gerald
Martin, Gerald was paid $207K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.
33Billing provider infoMARTIN, GERALD
BREVARD, NC 28712
BREVARD, NC 28712
33aNPI1194784009assigned 03/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$207K
24GClaims4,598
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#211 of 616
Median peer was paid$74K
This provider vs. median2.8×
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 | 98 | $5K | |
| 2019 | 394 | $30K | |
| 2020 | 683 | $41K | |
| 2021 | 974 | $42K | |
| 2022 | 961 | $42K | |
| 2023 | 867 | $32K | |
| 2024incomplete | 621 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 98% | 2,683 | 2,048 | $203K |
| 99199 | Unlisted special service, procedure or report | 1.6% | 1,080 | 1,048 | $3K |
| 99442 | <1% | 15 | 14 | $107.38 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 442 | 363 | $0.13 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 351 | 295 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 27 | 24 | $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.