Marten-Ellis, Gerard

Marten-Ellis, Gerard was paid $2K by Medicaid between Feb 2018 and Mar 2021, across 2 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 93% of everything it billed.

33Billing provider infoMARTEN-ELLIS, GERARD
KILLEEN, TX 76549

33aNPI1679545487assigned 02/06/2006

33bProvider typeOphthalmology Physician

28Total paid$2K

24GClaims138

24DCodes billed2

24AFirst – last monthFeb 2018 – Mar 2021

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#165 of 231

Median peer was paid$16K

This provider vs. median0.2×

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	71	$931.67
2019	42	$190.63
2020	12	$733.03
2021	13	$504.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	93%	126	124	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.6%	12	12	$154.96

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.