Physician
Martel, James
Martel, James was paid $76K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoMARTEL, JAMES
RANCHO CORDOVA, CA 95670
RANCHO CORDOVA, CA 95670
33aNPI1851312300assigned 07/21/2006
33bProvider typeOphthalmology Physician
28Total paid$76K
24GClaims18,442
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#306 of 759
Median peer was paid$35K
This provider vs. median2.2×
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 | 906 | $18K | |
| 2019 | 763 | $2K | |
| 2020 | 1,362 | $2K | |
| 2021 | 2,755 | $3K | |
| 2022 | 3,824 | $6K | |
| 2023 | 5,277 | $10K | |
| 2024incomplete | 3,555 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 2,141 | 1,811 | $14K |
| 92250 | 17% | 3,890 | 3,551 | $13K | |
| 92025 | 13% | 4,236 | 3,070 | $10K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 1,861 | 1,793 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 681 | 548 | $6K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.2% | 1,178 | 1,172 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.3% | 1,794 | 1,406 | $5K |
| 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 | 6.2% | 293 | 289 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.7% | 286 | 283 | $4K |
| 92134 | 1.1% | 207 | 201 | $811.57 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 24 | 18 | $461.96 |
| 92002 | <1% | 12 | 12 | $390.07 |
10 more codes
| V2020 | Frames, purchases | <1% | 13 | $271.70 |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 104 | $229.98 |
| 92015 | Determination of refractive state | <1% | 44 | $190.15 |
| 99243 | <1% | 13 | $58.91 | |
| 92133 | <1% | 55 | $42.68 | |
| 99058 | <1% | 263 | $40.87 | |
| 76514 | <1% | 12 | $23.75 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 619 | $0.00 |
| 2022F | 0% | 689 | $0.00 | |
| 92083 | 0% | 27 | $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.