Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1710417100
Physician

Martinez Morales, Edgardo

Martinez Morales, Edgardo was paid $25K by Medicaid between Jun 2023 and Oct 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 67% of everything it billed.

33Billing provider infoMARTINEZ MORALES, EDGARDO
SAN JUAN, PR 00935
33aNPI1710417100assigned 06/18/2017
28Total paid$25K
24GClaims339
24DCodes billed4
24AFirst – last monthJun 2023 – Oct 2024
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2023154$10K
2024incomplete185$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67% 203 108 $17K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 23% 108 15 $6K
99222 Initial hospital care, per day, moderate complexity 6.5% 16 16 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 12 12 $886.56

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.