Physician
Mariano M. Martinez MD PA
Mariano M. Martinez MD PA was paid $1K by Medicaid between Aug 2018 and Jul 2022, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 71% of everything it billed.
33Billing provider infoMARIANO M. MARTINEZ MD PA
DORAL, FL 33178
DORAL, FL 33178
33aNPI1679814529assigned 03/01/2013
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1K
24GClaims1,108
24DCodes billed5
24AFirst – last monthAug 2018 – Jul 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Florida
Rank by total paid#72 of 104
Median peer was paid$7K
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 | 50 | $0.00 | |
| 2019 | 607 | $972.51 | |
| 2020 | 89 | $133.39 | |
| 2021 | 57 | $150.00 | |
| 2022 | 305 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 71% | 632 | 264 | $886.22 |
| 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 | 16% | 131 | 98 | $195.04 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 11% | 285 | 203 | $138.48 |
| 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 | 2.9% | 40 | 26 | $36.16 |
| 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% | 20 | 18 | $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 officialMARTINEZ, MARIANO (PRESIDENT)