Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Rockford › NPI 1841300035
Physician

Martinez, Maria

Martinez, Maria was paid $353K by Medicaid between Jan 2018 and Dec 2021, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoMARTINEZ, MARIA
ROCKFORD, IL 61107
33aNPI1841300035assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$353K
24GClaims8,471
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#379 of 1,805
Median peer was paid$55K
This provider vs. median6.4×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,631$116K
20192,962$114K
20201,619$69K
20211,259$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 1,871 1,708 $129K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22% 983 901 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14% 737 691 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.5% 442 375 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.1% 182 155 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 430 338 $12K
90686 2.4% 1,187 1,079 $8K
90670 1.5% 632 596 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.3% 70 65 $5K
90698 1.1% 538 504 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 269 261 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.0% 80 78 $4K
14 more codes
90651 <1% 54 $2K
90633 <1% 259 $2K
90680 <1% 231 $2K
D1206 Topical application of fluoride varnish <1% 31 $806.00
90744 <1% 124 $761.60
90734 <1% 46 $701.19
96127 <1% 37 $481.80
90685 <1% 43 $292.67
90710 <1% 34 $211.20
90696 <1% 25 $160.00
90715 <1% 12 $87.87
90716 <1% 12 $76.80
36415 Collection of venous blood by venipuncture <1% 95 $72.68
99188 0% 47 $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.