Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Martinez, Pedro

Martinez, Pedro was paid $214K by Medicaid between Sep 2021 and Nov 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoMARTINEZ, PEDRO
SAN JUAN, PR 00922
33aNPI1235180183assigned 05/15/2006
28Total paid$214K
24GClaims2,264
24DCodes billed7
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Puerto Rico

Rank by total paid#9 of 46
Median peer was paid$14K
This provider vs. median15×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021231$21K
2022581$54K
2023638$66K
2024incomplete814$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 54% 1,425 1,053 $115K
99236 Prolong inpt eval add15 m 25% 362 339 $54K
99235 15% 248 209 $33K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.7% 96 13 $6K
99234 2.4% 52 42 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 68 61 $717.00
99220 <1% 13 13 $396.24

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.