Physician
Martinez, Carlos
Martinez, Carlos was paid $9K by Medicaid between Jan 2018 and Jan 2022, across 8 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 68% of everything it billed.
33Billing provider infoMARTINEZ, CARLOS
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1871741850assigned 09/03/2008
33bProvider typePediatrics Physician
28Total paid$9K
24GClaims423
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#810 of 1,490
Median peer was paid$15K
This provider vs. median0.6×
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 | 354 | $7K | |
| 2020 | 14 | $88.36 | |
| 2021 | 27 | $1K | |
| 2022 | 28 | $26.18 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 68% | 160 | 158 | $6K |
| 96156 | 14% | 12 | 12 | $1K | |
| 92551 | 9.1% | 82 | 81 | $815.01 | |
| 90658 | 4.3% | 43 | 43 | $387.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 45 | 43 | $222.54 |
| 99173 | 1.2% | 44 | 42 | $111.28 | |
| 85999 | <1% | 25 | 25 | $45.15 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 12 | 12 | $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.