Martinez, Miguel

Martinez, Miguel was paid $300K by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 77% of everything it billed.

33Billing provider infoMARTINEZ, MIGUEL
LOS ANGELES, CA 90033

33aNPI1417972480assigned 07/12/2006

33bProvider typeUrology Physician

28Total paid$300K

24GClaims5,814

24DCodes billed9

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Urology Physician providers in California

Rank by total paid#39 of 171

Median peer was paid$20K

This provider vs. median15×

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	259	$4K
2019	961	$27K
2020	334	$11K
2021	358	$22K
2022	1,067	$65K
2023	1,462	$99K
2024incomplete	1,373	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	77%	1,912	1,842	$231K
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	8.6%	787	727	$26K
76700	Ultrasound, abdominal, real time with image documentation; complete	5.5%	320	316	$17K
81001		4.7%	2,557	2,450	$14K
99205	Prolong outpt/office vis	1.7%	60	60	$5K
51792		1.4%	30	30	$4K
51741		<1%	121	121	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	14	14	$1K
76775		<1%	13	13	$513.80

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.