Martinez, Carlos
Martinez, Carlos was paid $12K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoMARTINEZ, CARLOS
BOUND BROOK, NJ 08805
BOUND BROOK, NJ 08805
33aNPI1407948599assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$12K
24GClaims2,806
24DCodes billed10
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#217 of 599
Median peer was paid$2K
This provider vs. median6.9×
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 | 403 | $3K | |
| 2019 | 1,524 | $2K | |
| 2020 | 707 | $7K | |
| 2021 | 172 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 678 | 678 | $4K |
| V2020 | Frames, purchases | 21% | 897 | 894 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 78 | 78 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 10% | 353 | 236 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.6% | 346 | 204 | $945.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.7% | 31 | 31 | $580.00 |
| 92015 | Determination of refractive state | 3.5% | 130 | 130 | $435.60 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.1% | 24 | 17 | $260.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 51 | 51 | $26.40 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 218 | 124 | $0.00 |
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.