Martin, Carla

Martin, Carla was paid $227K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoMARTIN, CARLA
PROVIDENCE, RI 02905

33aNPI1376528794assigned 12/08/2005

33bProvider typePediatrics Physician

28Total paid$227K

24GClaims5,643

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#85 of 265

Median peer was paid$133K

This provider vs. median1.7×

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	362	$16K
2019	108	$5K
2020	727	$26K
2021	1,374	$39K
2022	1,199	$54K
2023	997	$44K
2024incomplete	876	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55%	2,576	2,527	$126K
87428		19%	771	758	$44K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.6%	556	532	$17K
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	6.3%	223	219	$14K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	5.8%	425	416	$13K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.5%	513	252	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	398	395	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	14	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	46	45	$383.40
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	18	18	$375.36
90472	Immunization administration, each additional vaccine (list separately)	<1%	14	14	$258.60
99177		<1%	37	37	$176.04

2 more codes

81025		<1%	25	$127.25
81002		<1%	27	$57.07

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.