Martinez, Alfonso

Martinez, Alfonso was paid $11K by Medicaid between Jun 2019 and Sep 2020, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 50% of everything it billed.

33Billing provider infoMARTINEZ, ALFONSO
INDEPENDENCE, MO 64057

33aNPI1821013517assigned 07/13/2006

33bProvider typePulmonary Disease Physician

28Total paid$11K

24GClaims479

24DCodes billed4

24AFirst – last monthJun 2019 – Sep 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Missouri

Rank by total paid#23 of 35

Median peer was paid$20K

This provider vs. median0.5×

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	275	$7K
2020	204	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	50%	293	156	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	112	56	$3K
99239	Hospital discharge day management, more than 30 minutes	13%	59	53	$1K
99223	Prolong inpt eval add15 m	5.8%	15	13	$629.52

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.