Martinez, Marco

Martinez, Marco was paid $112K by Medicaid between Jan 2018 and May 2023, across 9 billing codes. Its largest line is 0502F, — 77% of everything it billed.

33Billing provider infoMARTINEZ, MARCO
ELMHURST, IL 60126

33aNPI1497706535assigned 05/13/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$112K

24GClaims4,613

24DCodes billed9

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#256 of 911

Median peer was paid$41K

This provider vs. median2.8×

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	484	$10K
2019	595	$14K
2020	895	$19K
2021	835	$20K
2022	1,108	$27K
2023	696	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		77%	1,901	1,467	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	421	377	$20K
81002		3.7%	1,885	1,480	$4K
59025	Fetal non-stress test	1.0%	155	121	$1K
81025		<1%	108	93	$553.19
90686		<1%	23	14	$483.08
81003		<1%	79	72	$170.04
3078F		0%	13	13	$0.00
3074F		0%	28	26	$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.