Martinez, Jessika
Martinez, Jessika was paid $8K by Medicaid between Nov 2018 and Dec 2023, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoMARTINEZ, JESSIKA
WEST COVINA, CA 91791
WEST COVINA, CA 91791
33aNPI1568547982assigned 10/25/2006
33bProvider typeOptometrist
28Total paid$8K
24GClaims537
24DCodes billed4
24AFirst – last monthNov 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,215 of 1,899
Median peer was paid$23K
This provider vs. median0.4×
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 | 26 | $173.04 | |
| 2019 | 167 | $2K | |
| 2020 | 41 | $488.41 | |
| 2021 | 52 | $543.92 | |
| 2022 | 114 | $3K | |
| 2023 | 137 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 80 | 80 | $4K |
| 92015 | Determination of refractive state | 35% | 393 | 393 | $3K |
| V2020 | Frames, purchases | 13% | 51 | 51 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.5% | 13 | 13 | $280.02 |
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.