Physician
Martinez Rios, Guillermo
Martinez Rios, Guillermo was paid $664K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 36% of everything it billed.
33Billing provider infoMARTINEZ RIOS, GUILLERMO
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1760474092assigned 08/23/2005
33bProvider typeOtolaryngology Physician
28Total paid$664K
24GClaims9,809
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Puerto Rico
Rank by total paid#3 of 29
Median peer was paid$79K
This provider vs. median8.4×
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 | 2,023 | $76K | |
| 2019 | 1,479 | $82K | |
| 2020 | 1,287 | $80K | |
| 2021 | 1,181 | $77K | |
| 2022 | 1,221 | $81K | |
| 2023 | 1,611 | $138K | |
| 2024incomplete | 1,007 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 36% | 4,136 | 3,843 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 3,087 | 2,777 | $144K |
| 31233 | 21% | 526 | 484 | $137K | |
| 31525 | 14% | 800 | 750 | $95K | |
| 69210 | 3.9% | 1,093 | 1,004 | $26K | |
| 69005 | 3.6% | 167 | 161 | $24K |
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.