Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Jacksonville › NPI 1891826160

Charles R.Martin,m.D.P.A.

Charles R.Martin,m.D.P.A. was paid $367K by Medicaid between Jan 2018 and Feb 2020, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoCHARLES R.MARTIN,M.D.P.A.
JACKSONVILLE, NC 28540
33aNPI1891826160assigned 03/08/2007
33bProvider typeSpecialist
28Total paid$367K
24GClaims11,931
24DCodes billed32
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Specialist providers in North Carolina

Rank by total paid#56 of 172
Median peer was paid$83K
This provider vs. median4.4×

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$10K$20K$30K2018201920202021202220232024
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
20185,558$169K
20195,694$172K
2020679$27K
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 37% 1,792 1,550 $134K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 1,711 1,510 $89K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.3% 367 354 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6.4% 1,290 1,227 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.8% 271 257 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 159 156 $12K
90472 Immunization administration, each additional vaccine (list separately) 3.1% 634 607 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.3% 106 96 $9K
D0145 Oral evaluation for a patient under three years of age 2.3% 303 295 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.8% 263 234 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.7% 125 103 $6K
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 1.4% 48 44 $5K
20 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 485 $4K
D1206 Topical application of fluoride varnish 1.0% 305 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 156 $2K
81002 <1% 1,017 $1K
85018 <1% 1,247 $721.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 42 $496.22
87807 <1% 35 $413.54
80061 Lipid panel <1% 14 $181.83
92551 <1% 317 $13.00
90688 0% 258 $0.00
90647 0% 117 $0.00
81000 0% 90 $0.00
90651 0% 32 $0.00
90723 0% 85 $0.00
88738 0% 21 $0.00
99173 0% 379 $0.00
90633 0% 34 $0.00
90670 0% 168 $0.00
90687 0% 46 $0.00
90734 0% 14 $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 officialPARKER, PATTY (OFFICE MANAGER)