Physician
Canales, Marta
Canales, Marta was paid $318K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCANALES, MARTA
NORTH BALDWIN, NY 11510
NORTH BALDWIN, NY 11510
33aNPI1750372843assigned 10/29/2005
33bProvider typePediatrics Physician
28Total paid$318K
24GClaims6,763
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#506 of 1,983
Median peer was paid$17K
This provider vs. median19×
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 | 1,882 | $82K | |
| 2019 | 478 | $15K | |
| 2020 | 292 | $8K | |
| 2021 | 79 | $1K | |
| 2022 | 18 | $421.08 | |
| 2023 | 2,229 | $112K | |
| 2024incomplete | 1,785 | $99K |
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 | 39% | 2,073 | 1,884 | $123K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,704 | 1,685 | $48K |
| 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 | 13% | 469 | 454 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 515 | 515 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 346 | 346 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 290 | 289 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 183 | 181 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 98 | 97 | $6K |
| 81002 | <1% | 188 | 187 | $412.59 | |
| 96127 | <1% | 55 | 55 | $276.64 | |
| 99173 | <1% | 138 | 138 | $66.24 | |
| 99172 | <1% | 25 | 25 | $15.00 |
7 more codes
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.