Physician
Francisco a Martinez Pediatrics PC
Francisco a Martinez Pediatrics PC was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 25% of everything it billed.
33Billing provider infoFRANCISCO A MARTINEZ PEDIATRICS PC
FREEPORT, NY 11520
FREEPORT, NY 11520
33aNPI1902078868assigned 03/31/2008
33bProvider typePediatrics Physician
28Total paid$1.49M
24GClaims294,723
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#217 of 1,983
Median peer was paid$17K
This provider vs. median88×
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 | 25,680 | $443K | |
| 2019 | 43,052 | $356K | |
| 2020 | 45,464 | $204K | |
| 2021 | 49,239 | $215K | |
| 2022 | 32,465 | $77K | |
| 2023 | 50,734 | $113K | |
| 2024incomplete | 48,089 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25% | 22,506 | 22,426 | $374K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 35,190 | 31,586 | $319K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 8,163 | 8,153 | $124K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 7,391 | 7,369 | $121K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 6,417 | 6,405 | $93K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 5,197 | 5,172 | $90K |
| 92551 | 3.9% | 16,959 | 16,946 | $59K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 1,239 | 1,226 | $44K |
| 97802 | 2.8% | 18,973 | 18,935 | $42K | |
| 99173 | 2.4% | 12,992 | 12,984 | $35K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 1,402 | 1,400 | $20K |
| 90461 | 1.2% | 7,169 | 7,165 | $18K |
74 more codes
| 99496 | 1.1% | 627 | $16K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,368 | $15K |
| 0002A | <1% | 391 | $14K | |
| 0001A | <1% | 379 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 23,477 | $13K |
| 0071A | <1% | 343 | $11K | |
| 0072A | <1% | 296 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,073 | $10K |
| 99381 | <1% | 409 | $9K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,836 | $7K |
| 86580 | <1% | 1,365 | $6K | |
| 90670 | <1% | 3,255 | $5K | |
| 0012A | <1% | 79 | $3K | |
| 0011A | <1% | 77 | $3K | |
| 90734 | <1% | 1,427 | $2K | |
| 90686 | <1% | 7,629 | $2K | |
| 90473 | <1% | 184 | $2K | |
| 90633 | <1% | 3,111 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 170 | $1K |
| 90744 | <1% | 1,144 | $1K | |
| 90480 | <1% | 65 | $1K | |
| 99174 | <1% | 3,608 | $1K | |
| 0003A | <1% | 30 | $895.15 | |
| 90710 | <1% | 2,156 | $760.00 | |
| 90715 | <1% | 1,217 | $731.67 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 388 | $568.21 |
| 90620 | <1% | 2,169 | $561.34 | |
| 99383 | <1% | 26 | $473.18 | |
| 90656 | <1% | 451 | $465.58 | |
| 90474 | <1% | 35 | $324.11 | |
| 85018 | <1% | 483 | $297.44 | |
| 90674 | <1% | 833 | $285.97 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 19 | $216.24 |
| 90651 | <1% | 2,694 | $197.38 | |
| 90716 | <1% | 156 | $144.00 | |
| 90672 | <1% | 246 | $134.40 | |
| 90680 | <1% | 2,972 | $105.00 | |
| 3074F | <1% | 89 | $97.50 | |
| 3078F | <1% | 70 | $87.50 | |
| 81025 | <1% | 77 | $42.09 | |
| 90698 | <1% | 2,663 | $41.13 | |
| 81002 | <1% | 71 | $18.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 102 | $14.15 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 3,787 | $13.53 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 15,008 | $10.00 |
| 83655 | <1% | 6,207 | $8.81 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 1,358 | $6.00 |
| 91307 | <1% | 532 | $1.07 | |
| 91300 | <1% | 692 | $0.21 | |
| 3008F | <1% | 16,711 | $0.05 | |
| 3016F | 0% | 534 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 3,891 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 17,076 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 277 | $0.00 |
| 90671 | 0% | 1,113 | $0.00 | |
| 90681 | 0% | 99 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 957 | $0.00 |
| 3725F | 0% | 2,802 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 27 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 42 | $0.00 |
| 90707 | 0% | 69 | $0.00 | |
| 91321 | 0% | 31 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 91322 | 0% | 12 | $0.00 | |
| 90696 | 0% | 907 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 180 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 198 | $0.00 |
| 1036F | 0% | 1,718 | $0.00 | |
| 90619 | 0% | 794 | $0.00 | |
| 36416 | 0% | 448 | $0.00 | |
| 1000F | 0% | 1,869 | $0.00 | |
| 90697 | 0% | 1,308 | $0.00 | |
| 91301 | 0% | 153 | $0.00 | |
| 90381 | 0% | 53 | $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 officialMARTINEZ, FRANCISCO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brentwood Legion Ambulance Service INC | Brentwood, NY | $1.27M |
| Dynamic Rehab Physical Therapy Center INC | Lancaster, CA | $169K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.