Martin, Douglas

Martin, Douglas was paid $18K by Medicaid between Apr 2018 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoMARTIN, DOUGLAS
RIVERSIDE, RI 02915

33aNPI1316981988assigned 06/15/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$18K

24GClaims481

24DCodes billed6

24AFirst – last monthApr 2018 – Sep 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Rhode Island

Rank by total paid#9 of 13

Median peer was paid$36K

This provider vs. median0.5×

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	104	$5K
2020	58	$3K
2021	73	$4K
2022	66	$2K
2023	108	$3K
2024incomplete	72	$599.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	48%	134	126	$9K
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%	113	110	$6K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.3%	43	13	$1K
94729		4.2%	72	71	$762.11
94727		3.3%	69	68	$591.02
94060		3.2%	50	50	$572.63

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.