Physician
Diaz Martinez, Pedro
Diaz Martinez, Pedro was paid $505.56 by Medicaid between Sep 2019 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoDIAZ MARTINEZ, PEDRO
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1811107212assigned 05/23/2007
33bProvider typeGeneral Practice Physician
28Total paid$505.56
24GClaims25,703
24DCodes billed25
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#751 of 1,195
Median peer was paid$2K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 719 | $0.00 | |
| 2020 | 1,645 | $0.00 | |
| 2021 | 3,152 | $0.00 | |
| 2022 | 4,772 | $0.00 | |
| 2023 | 6,751 | $505.56 | |
| 2024incomplete | 8,664 | $0.00 |
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 | 82% | 8,740 | 6,374 | $415.56 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 18% | 913 | 706 | $90.00 |
| 1159F | 0% | 1,325 | 1,024 | $0.00 | |
| 1160F | 0% | 1,286 | 994 | $0.00 | |
| 3078F | 0% | 4,502 | 3,477 | $0.00 | |
| 4019F | 0% | 209 | 139 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 314 | 269 | $0.00 |
| 1158F | 0% | 82 | 58 | $0.00 | |
| 99442 | 0% | 189 | 146 | $0.00 | |
| 3725F | 0% | 64 | 44 | $0.00 | |
| 0521F | 0% | 23 | 12 | $0.00 | |
| 3280F | 0% | 26 | 13 | $0.00 |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | 0% | 18 | $0.00 |
| 3074F | 0% | 4,926 | $0.00 | |
| 1125F | 0% | 498 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,566 | $0.00 |
| 3044F | 0% | 171 | $0.00 | |
| 1126F | 0% | 193 | $0.00 | |
| 3017F | 0% | 98 | $0.00 | |
| 3079F | 0% | 232 | $0.00 | |
| 3048F | 0% | 79 | $0.00 | |
| 3061F | 0% | 20 | $0.00 | |
| 3066F | 0% | 153 | $0.00 | |
| 3279F | 0% | 42 | $0.00 | |
| 1030F | 0% | 34 | $0.00 |
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.