Physician
Martin R Zapata DO INC
Martin R Zapata DO INC was paid $390K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 51% of everything it billed.
33Billing provider infoMARTIN R ZAPATA DO INC
NORWALK, CA 90650
NORWALK, CA 90650
33aNPI1194924498assigned 07/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$390K
24GClaims27,324
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#282 of 2,679
Median peer was paid$13K
This provider vs. median31×
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 | 2,525 | $50K | |
| 2019 | 5,994 | $80K | |
| 2020 | 4,020 | $83K | |
| 2021 | 3,110 | $49K | |
| 2022 | 5,085 | $55K | |
| 2023 | 4,434 | $37K | |
| 2024incomplete | 2,156 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 51% | 2,272 | 2,217 | $198K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 5,106 | 1,425 | $93K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.1% | 1,832 | 1,787 | $35K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.0% | 1,146 | 1,033 | $27K |
| 99490 | Ccm add 20min | 2.8% | 763 | 761 | $11K |
| 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 | 1.8% | 1,777 | 1,733 | $7K |
| 99307 | 1.5% | 531 | 528 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 844 | 830 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 106 | 26 | $3K |
| 99305 | <1% | 42 | 42 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 33 | 33 | $1K |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | 12 | $1K |
39 more codes
| 99347 | <1% | 120 | $1K | |
| 99335 | <1% | 42 | $573.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,184 | $158.38 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 101 | $145.01 |
| 3008F | <1% | 2,445 | $127.96 | |
| 99441 | <1% | 116 | $96.12 | |
| 1159F | <1% | 451 | $22.70 | |
| 99442 | <1% | 85 | $18.86 | |
| 81002 | <1% | 50 | $6.39 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,015 | $0.22 |
| 1111F | <1% | 57 | $0.16 | |
| 3725F | <1% | 1,232 | $0.04 | |
| 3074F | <1% | 1,345 | $0.04 | |
| 3078F | <1% | 1,350 | $0.03 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 41 | $0.00 |
| 3077F | 0% | 341 | $0.00 | |
| 1160F | 0% | 458 | $0.00 | |
| 1003F | 0% | 48 | $0.00 | |
| 3015F | 0% | 33 | $0.00 | |
| 1158F | 0% | 46 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 42 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 25 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19 | $0.00 |
| 3050F | 0% | 13 | $0.00 | |
| 3061F | 0% | 533 | $0.00 | |
| 1101F | 0% | 48 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 44 | $0.00 |
| 3080F | 0% | 271 | $0.00 | |
| 3044F | 0% | 518 | $0.00 | |
| 1170F | 0% | 48 | $0.00 | |
| 3079F | 0% | 173 | $0.00 | |
| 3017F | 0% | 59 | $0.00 | |
| 3075F | 0% | 81 | $0.00 | |
| 96156 | 0% | 48 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 61 | $0.00 |
| 99443 | 0% | 158 | $0.00 | |
| 3048F | 0% | 115 | $0.00 | |
| 3014F | 0% | 30 | $0.00 | |
| 1126F | 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.
From NPPES
Who's on the registration
Authorized officialZAPATA, MARTIN (DIRECTOR)