Physician
OIG excluded
Martin, Denny
Martin, Denny was paid $55K by Medicaid between Jan 2018 and Aug 2019, across 13 billing codes. Its largest line is 99350, Prolong home eval add 15m — 34% of everything it billed.
33Billing provider infoMARTIN, DENNY
NEW YORK, NY 10006
NEW YORK, NY 10006
33aNPI1891943536assigned 09/06/2008
33bProvider typeSurgery Physician
28Total paid$55K
24GClaims2,713
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Surgery Physician providers in New York
Rank by total paid#74 of 396
Median peer was paid$4K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (07/20/2023).
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 | 2,574 | $53K | |
| 2019 | 139 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 34% | 382 | 367 | $19K |
| 99348 | 21% | 524 | 484 | $12K | |
| 99349 | 17% | 296 | 289 | $9K | |
| 99490 | Ccm add 20min | 12% | 849 | 801 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.2% | 64 | 35 | $3K |
| 99347 | 3.4% | 102 | 98 | $2K | |
| 99497 | 1.9% | 84 | 79 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 64 | 45 | $781.62 |
| 99345 | Prolong home eval add 15m | 1.4% | 62 | 61 | $776.80 |
| 11721 | 1.1% | 112 | 111 | $587.95 | |
| 99498 | <1% | 65 | 62 | $534.28 | |
| 99496 | <1% | 72 | 71 | $16.82 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37 | $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.