Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARTINEZ, MAYRA

NPI: 1215313069 · RIO GRANDE CITY, TX 78582 · Physician Assistant · NPI assigned 08/04/2015

$14K
Total Medicaid Paid
636
Total Claims
608
Beneficiaries
10
Codes Billed
2021-01
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 584 $13K
2022 52 $921.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 213 205 $7K
S8301 Infection control supplies, not otherwise specified 155 149 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 15 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 82 78 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 87 82 $868.98
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 16 16 $13.80
99406 19 17 $0.00
97802 17 17 $0.00
S9451 Exercise classes, non-physician provider, per session 17 17 $0.00
T1015 Clinic visit/encounter, all-inclusive 14 12 $0.00