Physician
Martinez, Robert
Martinez, Robert was paid $1.53M by Medicaid between Oct 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoMARTINEZ, ROBERT
LAREDO, TX 78045
LAREDO, TX 78045
33aNPI1689615676assigned 06/09/2006
33bProvider typePediatrics Physician
28Total paid$1.53M
24GClaims102,361
24DCodes billed50
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#292 of 1,136
Median peer was paid$329K
This provider vs. median4.7×
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 | 21 | $774.69 | |
| 2019 | 72 | $797.30 | |
| 2020 | 5,940 | $91K | |
| 2021 | 24,481 | $360K | |
| 2022 | 25,660 | $383K | |
| 2023 | 25,437 | $375K | |
| 2024incomplete | 20,750 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 26,815 | 20,550 | $506K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 3,072 | 2,876 | $240K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 2,647 | 2,451 | $220K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,681 | 2,516 | $199K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 15,803 | 5,516 | $155K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 1,089 | 1,012 | $77K |
| 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 | 3.8% | 1,772 | 1,550 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 2,198 | 1,053 | $17K |
| 90461 | <1% | 3,209 | 2,476 | $11K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 308 | 286 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 979 | 290 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | 64 | $5K |
38 more codes
| 96161 | <1% | 1,867 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 621 | $3K |
| 90619 | <1% | 177 | $2K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 8,621 | $2K |
| 90480 | <1% | 64 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 397 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 262 | $2K |
| 99383 | <1% | 15 | $1K | |
| 99381 | <1% | 19 | $1K | |
| 99051 | <1% | 197 | $1K | |
| 90686 | <1% | 1,154 | $846.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 306 | $705.84 |
| 90671 | <1% | 381 | $500.00 | |
| 86580 | <1% | 144 | $494.32 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,623 | $340.00 |
| 87400 | <1% | 24 | $261.14 | |
| 90733 | <1% | 299 | $140.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 77 | $32.64 |
| 90700 | 0% | 1,910 | $0.00 | |
| 90713 | 0% | 1,368 | $0.00 | |
| 90707 | 0% | 606 | $0.00 | |
| 90633 | 0% | 618 | $0.00 | |
| 90670 | 0% | 881 | $0.00 | |
| 90648 | 0% | 857 | $0.00 | |
| 90715 | 0% | 93 | $0.00 | |
| 91320 | 0% | 39 | $0.00 | |
| 90672 | 0% | 362 | $0.00 | |
| 90716 | 0% | 625 | $0.00 | |
| 90680 | 0% | 686 | $0.00 | |
| 3008F | 0% | 8,681 | $0.00 | |
| 90744 | 0% | 324 | $0.00 | |
| 90620 | 0% | 321 | $0.00 | |
| 90647 | 0% | 37 | $0.00 | |
| 90651 | 0% | 511 | $0.00 | |
| 90632 | 0% | 21 | $0.00 | |
| 96127 | 0% | 497 | $0.00 | |
| 90677 | 0% | 24 | $0.00 | |
| 90743 | 0% | 13 | $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.