Physician
Gaines C Martin MD PHD PA
Gaines C Martin MD PHD PA was paid $58K by Medicaid between Apr 2019 and Jun 2024, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 85% of everything it billed.
33Billing provider infoGAINES C MARTIN MD PHD PA
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
33aNPI1265627541assigned 09/11/2007
33bProvider typeFamily Medicine Physician
28Total paid$58K
24GClaims4,786
24DCodes billed8
24AFirst – last monthApr 2019 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#292 of 996
Median peer was paid$13K
This provider vs. median4.4×
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 | 1,804 | $6K | |
| 2020 | 731 | $18K | |
| 2021 | 986 | $19K | |
| 2022 | 629 | $8K | |
| 2023 | 428 | $5K | |
| 2024incomplete | 208 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 85% | 2,731 | 814 | $49K |
| 99223 | Prolong inpt eval add15 m | 8.7% | 119 | 87 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 217 | 90 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.3% | 729 | 200 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 336 | 165 | $415.10 |
| 99307 | <1% | 60 | 34 | $148.33 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 20 | 13 | $76.96 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 574 | 178 | $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 officialMARTIN, GAINES (OWNER)