Physician
Eduardo G Martinez MD PA
Eduardo G Martinez MD PA was paid $3K by Medicaid between Dec 2018 and Feb 2022, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 67% of everything it billed.
33Billing provider infoEDUARDO G MARTINEZ MD PA
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1437470689assigned 06/22/2010
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$3K
24GClaims510
24DCodes billed7
24AFirst – last monthDec 2018 – Feb 2022
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#48 of 55
Median peer was paid$37K
This provider vs. median0.1×
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 | 14 | $0.00 | |
| 2019 | 169 | $180.73 | |
| 2020 | 167 | $967.91 | |
| 2021 | 147 | $2K | |
| 2022 | 13 | $52.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 67% | 27 | 26 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 138 | 39 | $553.64 |
| 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 | 13% | 175 | 158 | $422.94 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 63 | 61 | $137.45 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 41 | 39 | $0.00 |
| 4040F | 0% | 41 | 38 | $0.00 | |
| 1036F | 0% | 25 | 24 | $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.
From NPPES
Who's on the registration
Authorized officialMARTINEZ, EDUARDO (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| TCM Quality Services,inc | Cape Coral, FL | $9.67M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.