Physician
Martinez, Misha
Martinez, Misha was paid $36K by Medicaid between Jan 2018 and Apr 2018, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMARTINEZ, MISHA
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
33aNPI1528221082assigned 07/04/2008
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims1,056
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#1,010 of 1,805
Median peer was paid$55K
This provider vs. median0.7×
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 | 1,056 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 236 | 201 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 108 | 86 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 50 | 43 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 188 | 94 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.3% | 146 | 113 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 105 | 92 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 27 | 27 | $2K |
| 96127 | 2.6% | 67 | 61 | $954.30 | |
| 87807 | 1.4% | 49 | 32 | $494.28 | |
| 90648 | <1% | 14 | 13 | $85.12 | |
| 90670 | <1% | 12 | 12 | $72.32 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 39 | 35 | $0.00 |
1 more codes
| 90461 | 0% | 15 | $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.