Clinic
Mary E Martin Diabetes Center of Excellence, INC
Mary E Martin Diabetes Center of Excellence, INC was paid $16K by Medicaid between Sep 2019 and Mar 2020, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 54% of everything it billed.
33Billing provider infoMARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1245794403assigned 01/22/2019
33bProvider typeClinic/Center
28Total paid$16K
24GClaims1,063
24DCodes billed8
24AFirst – last monthSep 2019 – Mar 2020
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#34 of 42
Median peer was paid$224K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 726 | $10K | |
| 2020 | 337 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 54% | 270 | 191 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 273 | 207 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 31 | 27 | $194.84 |
| 3046F | 1.2% | 226 | 145 | $181.04 | |
| 3044F | <1% | 109 | 83 | $100.34 | |
| 3045F | <1% | 40 | 23 | $40.07 | |
| 2022F | <1% | 97 | 77 | $7.17 | |
| 3052F | <1% | 17 | 13 | $0.03 |
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 officialMARTIN, BARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Primary Care Centers of Eastern Kentucky, LLC | Hazard, KY | $26.30M |
| Beacons of Hope, LLC | Hazard, KY | $6.58M |
| Primary Care Centers of Eastern Kentucky, LLC | Scuddy, KY | $3.64M |
| Primary Care Centers of Eastern Kentucky, LLC | Hindman, KY | $1.81M |
| Primary Care Centers of Eastern Kentucky, LLC | Hyden, KY | $1.52M |
| Homecare Advantage,llc | Terre Haute, IN | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.