Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Emilio Martin Justo MD PC

Emilio Martin Justo MD PC was paid $131K by Medicaid between Oct 2023 and Dec 2024, across 15 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 45% of everything it billed.

33Billing provider infoEMILIO MARTIN JUSTO MD PC
SUN CITY, AZ 85351
33aNPI1801902762assigned 08/22/2006
33bProvider typeOphthalmology Physician
28Total paid$131K
24GClaims2,195
24DCodes billed15
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#29 of 78
Median peer was paid$44K
This provider vs. median3.0×

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.

Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
202388$5K
2024incomplete2,107$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 45% 429 364 $59K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 315 312 $30K
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 8.1% 301 288 $11K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 348 319 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.9% 86 84 $5K
92134 2.8% 187 186 $4K
92133 2.7% 165 163 $4K
92136 1.7% 177 174 $2K
92250 1.3% 83 83 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 31 31 $2K
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% 18 17 $1K
68761 <1% 12 12 $896.59
3 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 17 $421.11
92025 <1% 12 $240.61
76514 <1% 14 $122.58

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.

From NPPES

Who's on the registration

Authorized officialGIRA, JOSEPH (CMO)
Same official

Other billing entities under GIRA, JOSEPH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.