Physician
Joseph R. Martel, M.D. INC
Joseph R. Martel, M.D. INC was paid $530K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 37% of everything it billed.
33Billing provider infoJOSEPH R. MARTEL, M.D. INC
RANCHO CORDOVA, CA 95670
RANCHO CORDOVA, CA 95670
33aNPI1841326824assigned 02/26/2007
33bProvider typeOphthalmology Physician
28Total paid$530K
24GClaims35,253
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#129 of 759
Median peer was paid$35K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 5,092 | $228K | |
| 2019 | 4,197 | $20K | |
| 2020 | 4,535 | $15K | |
| 2021 | 5,672 | $19K | |
| 2022 | 5,523 | $38K | |
| 2023 | 5,627 | $80K | |
| 2024incomplete | 4,607 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 37% | 2,093 | 1,967 | $197K |
| 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% | 6,898 | 6,760 | $66K |
| 66982 | 10% | 319 | 303 | $54K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 2,839 | 2,835 | $51K |
| 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 | 5.6% | 1,827 | 1,822 | $29K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.2% | 1,789 | 1,665 | $22K |
| 76519 | 3.0% | 2,488 | 2,444 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 904 | 903 | $14K |
| 92250 | 2.6% | 3,612 | 3,589 | $14K | |
| 99205 | Prolong outpt/office vis | 2.3% | 220 | 220 | $12K |
| 92015 | Determination of refractive state | 2.1% | 4,200 | 4,194 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 998 | 989 | $11K |
15 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.9% | 714 | $10K |
| V2020 | Frames, purchases | 1.8% | 511 | $10K |
| 92083 | <1% | 1,468 | $4K | |
| 92134 | <1% | 579 | $3K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 39 | $1K |
| 92020 | <1% | 874 | $1K | |
| 92133 | <1% | 558 | $1K | |
| 2022F | <1% | 928 | $258.70 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 112 | $119.95 |
| 76514 | <1% | 94 | $54.21 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 168 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 157 | $0.00 |
| J9035 | Injection, bevacizumab, 10 mg | 0% | 35 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 765 | $0.00 |
| 99024 | 0% | 64 | $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.
From NPPES
Who's on the registration
Authorized officialMARTEL, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Martel Eye Institute LLC | Rancho Cordova, CA | $1.45M |
| Joseph R Martel MD INC | Rancho Cordova, CA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.