Physician
Martinez Munoz, Raul
Martinez Munoz, Raul was paid $9K by Medicaid between Jan 2018 and Sep 2023, across 15 billing codes. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoMARTINEZ MUNOZ, RAUL
MAUNABO, PR 00707
MAUNABO, PR 00707
33aNPI1306810981assigned 02/13/2006
33bProvider typeGeneral Practice Physician
28Total paid$9K
24GClaims1,115
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#428 of 1,195
Median peer was paid$2K
This provider vs. median4.2×
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 | 462 | $1K | |
| 2019 | 196 | $2K | |
| 2020 | 78 | $742.17 | |
| 2021 | 216 | $2K | |
| 2022 | 117 | $1K | |
| 2023 | 46 | $999.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 453 | 444 | $8K | |
| 1158F | <1% | 24 | 24 | $8.00 | |
| 3079F | <1% | 16 | 15 | $6.00 | |
| 3075F | <1% | 15 | 14 | $6.00 | |
| 1125F | 0% | 16 | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 378 | 369 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 53 | 38 | $0.00 |
| 3008F | 0% | 29 | 27 | $0.00 | |
| 3017F | 0% | 19 | 19 | $0.00 | |
| 1170F | 0% | 23 | 23 | $0.00 | |
| 3048F | 0% | 15 | 15 | $0.00 | |
| 1030F | 0% | 13 | 13 | $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.