Martinez, Silma

Martinez, Silma was paid $660.00 by Medicaid between Jan 2018 and Jan 2018, across 10 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 43% of everything it billed.

33Billing provider infoMARTINEZ, SILMA
RIO GRANDE, PR 00745

33aNPI1639255680assigned 10/31/2006

33bProvider typePediatrics Physician

28Total paid$660.00

24GClaims268

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#138 of 194

Median peer was paid$7K

This provider vs. median0.1×

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	268	$660.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90472	Immunization administration, each additional vaccine (list separately)	43%	25	25	$282.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	42%	46	46	$276.00
90461		15%	17	17	$102.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	35	32	$0.00
90715		0%	12	12	$0.00
90734		0%	13	13	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	63	60	$0.00
90686		0%	14	14	$0.00
90651		0%	20	20	$0.00
99050		0%	23	23	$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.