Martinez, Jose

Martinez, Jose was paid $69K by Medicaid between Jan 2018 and Oct 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoMARTINEZ, JOSE
NASHVILLE, TN 37232

33aNPI1669556775assigned 10/25/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$69K

24GClaims641

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Tennessee

Rank by total paid#9 of 13

Median peer was paid$76K

This provider vs. median0.9×

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

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	264	$32K
2019	206	$21K
2020	171	$16K

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	67%	494	476	$46K
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	29%	134	123	$20K
99244	Office or other outpatient consultation, moderate to high complexity	3.6%	13	13	$2K

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.