Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Carbondale › NPI 1568531010
Physician

Martin, Adrian

Martin, Adrian was paid $15K by Medicaid between Jan 2019 and Aug 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoMARTIN, ADRIAN
CARBONDALE, IL 62901
33aNPI1568531010assigned 11/07/2006
33bProvider typeSurgery Physician
28Total paid$15K
24GClaims257
24DCodes billed3
24AFirst – last monthJan 2019 – Aug 2024
Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#132 of 422
Median peer was paid$5K
This provider vs. median2.9×

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$1.0K$2.0K2018201920202021202220232024
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
201979$5K
202016$601.41
202127$1K
202213$629.97
202393$5K
2024incomplete29$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 52% 151 148 $8K
99243 38% 79 77 $5K
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 10% 27 26 $1K

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.