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

Martinez Torres, Hector

Martinez Torres, Hector was paid $505K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.

33Billing provider infoMARTINEZ TORRES, HECTOR
CAGUAS, PR 00725
33aNPI1821032087assigned 06/16/2006
28Total paid$505K
24GClaims10,281
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#29 of 518
Median peer was paid$5K
This provider vs. median101×

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
20181,064$32K
20191,591$73K
2020743$47K
20211,520$99K
20221,904$61K
2023867$31K
2024incomplete2,592$163K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 44% 2,150 891 $221K
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% 1,350 917 $126K
93000 9.7% 3,047 2,140 $49K
99244 Office or other outpatient consultation, moderate to high complexity 9.2% 460 349 $46K
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 5.5% 426 340 $28K
99241 3.0% 326 287 $15K
99239 Hospital discharge day management, more than 30 minutes 2.3% 171 146 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 264 221 $4K
99243 <1% 61 46 $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% 14 14 $793.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15 14 $23.83
4035F 0% 192 147 $0.00
11 more codes
0521F 0% 128 $0.00
3078F 0% 73 $0.00
1159F 0% 192 $0.00
1160F 0% 192 $0.00
1158F 0% 192 $0.00
3008F 0% 192 $0.00
2000F 0% 193 $0.00
2010F 0% 192 $0.00
2001F 0% 191 $0.00
1170F 0% 190 $0.00
3074F 0% 70 $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.