Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › San Antonio › NPI 1508282732
Physician

Jorge N. Martinez-Prieto, M.D., P.A.

Jorge N. Martinez-Prieto, M.D., P.A. was paid $63K by Medicaid between Jun 2020 and Dec 2021, across 8 billing codes. Its largest line is 95813, — 31% of everything it billed.

33Billing provider infoJORGE N. MARTINEZ-PRIETO, M.D., P.A.
SAN ANTONIO, TX 78215
33aNPI1508282732assigned 03/12/2014
33bProvider typeNeurology Physician
28Total paid$63K
24GClaims1,282
24DCodes billed8
24AFirst – last monthJun 2020 – Dec 2021
Compared with peers

Next to other Neurology Physician providers in Texas

Rank by total paid#37 of 122
Median peer was paid$15K
This provider vs. median4.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020381$15K
2021901$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95813 31% 75 75 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 617 603 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 145 143 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11% 72 17 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.1% 243 235 $4K
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 3.6% 30 30 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3.5% 72 17 $2K
95886 2.5% 28 16 $2K

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-PRIETO, JORGE (OWNER/PHYSICIAN)