Physician
Carlos S Martinez MD INC
Carlos S Martinez MD INC was paid $90K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 39% of everything it billed.
33Billing provider infoCARLOS S MARTINEZ MD INC
LOS ANGELES, CA 90017
LOS ANGELES, CA 90017
33aNPI1295110294assigned 07/21/2015
33bProvider typeInternal Medicine Physician
28Total paid$90K
24GClaims5,715
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#682 of 2,679
Median peer was paid$13K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2018 | 1,883 | $22K | |
| 2019 | 1,577 | $34K | |
| 2020 | 334 | $5K | |
| 2021 | 361 | $10K | |
| 2022 | 485 | $9K | |
| 2023 | 529 | $7K | |
| 2024incomplete | 546 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 39% | 2,695 | 697 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 2,112 | 1,984 | $31K |
| 99223 | Prolong inpt eval add15 m | 21% | 409 | 380 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.3% | 220 | 203 | $4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.7% | 213 | 202 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | 15 | $71.44 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | 13 | $48.06 |
| 1159F | <1% | 16 | 12 | $36.61 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 21 | 19 | $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, CARLOS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| United Home Care Services, INC. | Doral, FL | $93.77M |
| United Homecare Services, INC. | Doral, FL | $4.11M |
| Outsides's Car Service INC | Bronx, NY | $354K |
| Odontologia General Y Pediatrica | San Juan, PR | $72K |
| Carolina Dental Group | Carolina, PR | $40K |
| C L a Dental Group | San Juan, PR | $3K |
| Eye Physicians of Long Beach a Medical Group INC. | Long Beach, CA | $2K |
| Carlos T J Martinez, DO INC | Rancho Cucamonga, CA | $147.97 |
| Carlos Javier Martinez, O.D., P.C. | Bound Brook, NJ | $0.00 |
| Clinica Medica Mi Familia De Palmdale, INC. | Palmdale, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.