Martinez, Raul

Martinez, Raul was paid $133K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 99423, — 46% of everything it billed.

33Billing provider infoMARTINEZ, RAUL
EDINBURG, TX 78539

33aNPI1285641704assigned 08/01/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$133K

24GClaims7,256

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#23 of 225

Median peer was paid$6K

This provider vs. median23×

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	1,175	$10K
2019	1,362	$31K
2020	2,068	$61K
2021	1,471	$16K
2022	642	$8K
2023	370	$4K
2024incomplete	168	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99423		46%	1,616	437	$61K
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	27%	3,603	2,675	$36K
99444		16%	396	101	$22K
99443		9.8%	1,170	796	$13K
99091		<1%	44	44	$523.24
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	47	38	$162.54
93307		<1%	95	92	$82.94
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	46	33	$50.67
G0008	Administration of influenza virus vaccine	0%	41	41	$0.00
99422		0%	135	59	$0.00
90674		0%	40	40	$0.00
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	0%	23	12	$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.