Clinic
Martin Aviles MD a Professional Medical Corporation
Martin Aviles MD a Professional Medical Corporation was paid $763K by Medicaid between Jan 2018 and Jul 2021, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoMARTIN AVILES MD A PROFESSIONAL MEDICAL CORPORATION
NATCHITOCHES, LA 71457
NATCHITOCHES, LA 71457
33aNPI1679645071assigned 11/14/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$763K
24GClaims22,573
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Louisiana
Rank by total paid#3 of 19
Median peer was paid$67K
This provider vs. median11×
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 | 7,486 | $259K | |
| 2019 | 6,681 | $220K | |
| 2020 | 5,382 | $181K | |
| 2021 | 3,024 | $102K |
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 | 28% | 3,718 | 2,669 | $216K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 5,498 | 3,426 | $209K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 11% | 1,078 | 953 | $85K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.4% | 627 | 577 | $49K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.5% | 70 | 67 | $42K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.1% | 533 | 496 | $31K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.0% | 510 | 466 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 544 | 455 | $23K |
| 59025 | Fetal non-stress test | 2.8% | 870 | 466 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 1,342 | 1,205 | $14K |
| 59430 | 1.6% | 125 | 122 | $12K | |
| 81025 | 1.3% | 1,913 | 1,744 | $10K |
11 more codes
| 76801 | 1.2% | 120 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 96 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 43 | $3K |
| 81002 | <1% | 2,075 | $2K | |
| 99201 | <1% | 41 | $1K | |
| 85018 | <1% | 109 | $198.36 | |
| 80305 | <1% | 19 | $164.34 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 478 | $0.00 |
| 3015F | 0% | 853 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 395 | $0.00 |
| 0500F | 0% | 1,516 | $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.
From NPPES
Who's on the registration
Authorized officialAVILES, MARTIN (OWNER PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| PDP Health Management INC | Ponce, PUERTO RICO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.