Martinez, Elsa
Martinez, Elsa was paid $25K by Medicaid between Mar 2021 and Sep 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoMARTINEZ, ELSA
NEWTOWN, PA 18940
NEWTOWN, PA 18940
33aNPI1801925441assigned 03/02/2007
33bProvider typeOptometrist
28Total paid$25K
24GClaims192
24DCodes billed4
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#462 of 983
Median peer was paid$20K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 72 | $2K | |
| 2022 | 63 | $1K | |
| 2024incomplete | 57 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 88% | 57 | 53 | $22K |
| V2020 | Frames, purchases | 5.8% | 70 | 70 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 53 | 53 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 12 | 12 | $420.00 |
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.