Physician
OIG excluded
Barrios, Martin
Barrios, Martin was paid $96K by Medicaid between Jan 2018 and Mar 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoBARRIOS, MARTIN
FORT MYERS, FL 33905
FORT MYERS, FL 33905
33aNPI1770788689assigned 06/19/2007
33bProvider typeSurgery Physician
28Total paid$96K
24GClaims4,231
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Surgery Physician providers in Florida
Rank by total paid#20 of 126
Median peer was paid$7K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (10/19/2023).
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 | 4,231 | $96K |
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 | 59% | 1,631 | 584 | $56K |
| 80305 | 24% | 2,082 | 675 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 432 | 286 | $11K |
| 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 | 3.0% | 49 | 44 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 12 | 12 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | 21 | $387.14 |
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.