Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ORTIZ MARTINEZ, HECTOR

NPI: 1386625879 · MAYAGUEZ, PR 00680 · Pediatrics Physician · NPI assigned 11/10/2005

$7K
Total Medicaid Paid
21,418
Total Claims
13,671
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,980 $16.00
2019 1,788 $313.00
2020 1,797 $220.00
2021 2,458 $1K
2022 2,720 $3K
2023 3,119 $2K
2024 6,556 $378.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99441 5,228 3,699 $6K
96160 1,839 1,430 $640.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,273 7,031 $234.64
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 133 127 $16.00
96127 741 448 $4.56
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 131 93 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 187 169 $0.00
99442 149 142 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 458 318 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 237 175 $0.00
96150 14 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 13 $0.00