Physician
Richard E. Martinez, MD and Associates, PA
Richard E. Martinez, MD and Associates, PA was paid $16K by Medicaid between Jan 2018 and Jul 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoRICHARD E. MARTINEZ, MD AND ASSOCIATES, PA
BOERNE, TX 78006
BOERNE, TX 78006
33aNPI1245322338assigned 09/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$16K
24GClaims768
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#706 of 1,204
Median peer was paid$31K
This provider vs. median0.5×
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 | 511 | $8K | |
| 2019 | 257 | $8K |
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 | 73% | 468 | 407 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 65 | 52 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 34 | 32 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | 13 | $139.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 13 | $138.90 |
| 90756 | <1% | 21 | 21 | $20.40 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 132 | 125 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | 20 | $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 officialMARTINEZ, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Second Avenue Mri LLC | Lake Charles, LA | $591K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.