Martinez, Jose

Martinez, Jose was paid $430K by Medicaid between Jan 2022 and Dec 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.

33Billing provider infoMARTINEZ, JOSE
SANTURCE, PR 00971

33aNPI1528082690assigned 07/26/2006

33bProvider typePediatrics Physician

28Total paid$430K

24GClaims3,768

24DCodes billed7

24AFirst – last monthJan 2022 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#22 of 194

Median peer was paid$7K

This provider vs. median64×

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
2022	116	$2K
2023	572	$62K
2024incomplete	3,080	$366K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	1,892	1,101	$179K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	30%	893	503	$129K
99236	Prolong inpt eval add15 m	14%	354	164	$62K
99235		12%	403	220	$51K
76140		1.3%	156	155	$6K
99223	Prolong inpt eval add15 m	<1%	57	41	$4K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	13	12	$300.51

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.