Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Martin Mcelya DO PA

Martin Mcelya DO PA was paid $197K by Medicaid between May 2020 and Aug 2022, across 8 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 47% of everything it billed.

33Billing provider infoMARTIN MCELYA DO PA
DALLAS, TX 75254
33aNPI1811151954assigned 07/17/2008
28Total paid$197K
24GClaims7,273
24DCodes billed8
24AFirst – last monthMay 2020 – Aug 2022
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Texas

Rank by total paid#8 of 114
Median peer was paid$4K
This provider vs. median44×

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

$0$20K$40K$60K2018201920202021202220232024
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
20201,114$664.36
20215,031$154K
20221,128$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 47% 3,462 2,535 $92K
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 25% 1,101 919 $50K
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 13% 992 733 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.8% 327 289 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.1% 597 404 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 269 250 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.6% 156 155 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 369 121 $951.02

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 officialMCELYA, ALYSSA (AO)