Martincic, Claudio

Martincic, Claudio was paid $5K by Medicaid between Jul 2020 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoMARTINCIC, CLAUDIO
STONY BROOK, NY 11790

33aNPI1710998182assigned 08/11/2006

33bProvider typeNephrology Physician

28Total paid$5K

24GClaims346

24DCodes billed3

24AFirst – last monthJul 2020 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#406 of 559

Median peer was paid$18K

This provider vs. median0.3×

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
2020	14	$118.82
2021	90	$562.36
2022	107	$1K
2023	52	$594.37
2024incomplete	83	$2K

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	77%	179	173	$4K
99490	Ccm add 20min	23%	154	154	$1K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	13	12	$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.