Mcdonald-Martinez, Nicole

Mcdonald-Martinez, Nicole was paid $290K by Medicaid between Apr 2019 and Aug 2021, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 93% of everything it billed.

33Billing provider infoMCDONALD-MARTINEZ, NICOLE
SANDWICH, IL 60548

33aNPI1396058830assigned 07/26/2010

33bProvider typeClinical Social Worker

28Total paid$290K

24GClaims2,921

24DCodes billed2

24AFirst – last monthApr 2019 – Aug 2021

Compared with peers

Next to other Clinical Social Worker providers in Illinois

Rank by total paid#66 of 703

Median peer was paid$25K

This provider vs. median12×

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
2019	1,020	$110K
2020	1,125	$111K
2021	776	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	93%	2,631	738	$270K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	6.9%	290	150	$20K

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.