Martinez, Carlos

Martinez, Carlos was paid $40K by Medicaid between Jan 2018 and Oct 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoMARTINEZ, CARLOS
WEST SENECA, NY 14224

33aNPI1366476897assigned 07/10/2006

33bProvider typeRheumatology Physician

28Total paid$40K

24GClaims1,130

24DCodes billed1

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Rheumatology Physician providers in New York

Rank by total paid#60 of 199

Median peer was paid$15K

This provider vs. median2.7×

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	108	$3K
2019	188	$5K
2020	117	$4K
2021	179	$6K
2022	148	$6K
2023	218	$10K
2024incomplete	172	$7K

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	100%	1,130	1,120	$40K

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.