Martinez, Gilberto

Martinez, Gilberto was paid $2K by Medicaid between Aug 2019 and Dec 2021, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoMARTINEZ, GILBERTO
FAIR OAKS, CA 95628

33aNPI1851454813assigned 12/19/2006

33bProvider typeFamily Medicine Physician

28Total paid$2K

24GClaims2,013

24DCodes billed4

24AFirst – last monthAug 2019 – Dec 2021

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#1,697 of 2,511

Median peer was paid$13K

This provider vs. median0.2×

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
2019	240	$1K
2020	889	$694.18
2021	884	$179.63

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	77%	1,861	1,380	$2K
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	23%	58	58	$475.44
1036F		0%	17	14	$0.00
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	0%	77	72	$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.