Martin, Daniel

Martin, Daniel was paid $88K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 38% of everything it billed.

33Billing provider infoMARTIN, DANIEL
PEORIA, IL 61614

33aNPI1578874293assigned 06/28/2010

33bProvider typeGastroenterology Physician

28Total paid$88K

24GClaims1,861

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#75 of 370

Median peer was paid$16K

This provider vs. median5.5×

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	718	$34K
2019	443	$14K
2020	116	$5K
2021	176	$7K
2022	81	$4K
2023	169	$8K
2024incomplete	158	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	38%	192	158	$34K
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	17%	390	373	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	455	228	$11K
99254		8.6%	115	100	$8K
45380	Colonoscopy, flexible; with biopsy, single or multiple	7.5%	36	25	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	192	171	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.0%	105	38	$4K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	3.4%	15	12	$3K
99152		2.9%	333	274	$3K
99255		1.5%	16	14	$1K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	12	12	$4.60

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.