Physician
Martinez, Francisco
Martinez, Francisco was paid $3.04M by Medicaid between Dec 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoMARTINEZ, FRANCISCO
MIAMI, FL 33125
MIAMI, FL 33125
33aNPI1699732172assigned 04/27/2006
33bProvider typePediatrics Physician
28Total paid$3.04M
24GClaims84,052
24DCodes billed32
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#104 of 971
Median peer was paid$238K
This provider vs. median13×
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 | 2,836 | $45K | |
| 2019 | 16,149 | $457K | |
| 2020 | 11,491 | $376K | |
| 2021 | 13,919 | $527K | |
| 2022 | 14,932 | $591K | |
| 2023 | 14,575 | $594K | |
| 2024incomplete | 10,150 | $455K |
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 | 40% | 28,024 | 24,389 | $1.21M |
| 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% | 6,901 | 6,453 | $498K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 4,475 | 4,370 | $443K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 3,048 | 3,001 | $312K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 2,948 | 2,784 | $304K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 1,676 | 1,554 | $172K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 10,009 | 9,446 | $32K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,673 | 4,421 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 415 | 402 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,483 | 4,081 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 980 | 845 | $6K |
| 90700 | <1% | 1,552 | 1,392 | $2K |
20 more codes
| 90658 | <1% | 3,200 | $2K | |
| 90620 | <1% | 1,530 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 90657 | <1% | 881 | $1K | |
| 90698 | <1% | 182 | $875.00 | |
| 90707 | <1% | 813 | $614.41 | |
| 90715 | <1% | 329 | $578.76 | |
| 90670 | <1% | 1,487 | $552.77 | |
| 90633 | <1% | 742 | $392.57 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $346.22 |
| 90734 | <1% | 434 | $254.58 | |
| 90649 | <1% | 855 | $240.47 | |
| 90744 | <1% | 431 | $116.01 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $106.93 |
| 90713 | <1% | 1,133 | $100.00 | |
| 90619 | <1% | 300 | $51.25 | |
| 90716 | <1% | 851 | $45.00 | |
| 90680 | <1% | 708 | $24.01 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 70 | $0.39 |
| 90648 | 0% | 872 | $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.