Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FRANCISCO A MARTINEZ PEDIATRICS PC

NPI: 1902078868 · FREEPORT, NY 11520 · Pediatrics Physician · NPI assigned 03/31/2008

$1.49M
Total Medicaid Paid
294,723
Total Claims
286,638
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, FRANCISCO (OWNER)
NPI Enumeration Date03/31/2008

Related Entities

Other providers sharing the same authorized official: MARTINEZ, FRANCISCO

ProviderCityStateTotal Paid
BRENTWOOD LEGION AMBULANCE SERVICE INC BRENTWOOD NY $1.27M
DYNAMIC REHAB PHYSICAL THERAPY CENTER INC LANCASTER CA $169K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 48,089 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 22,506 22,426 $374K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35,190 31,586 $319K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,163 8,153 $124K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,391 7,369 $121K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,417 6,405 $93K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,197 5,172 $90K
92551 16,959 16,946 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,239 1,226 $44K
97802 18,973 18,935 $42K
99173 12,992 12,984 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,402 1,400 $20K
90461 7,169 7,165 $18K
99496 627 609 $16K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,368 3,368 $15K
0002A 391 391 $14K
0001A 379 379 $13K
36415 Collection of venous blood by venipuncture 23,477 23,164 $13K
0071A 343 343 $11K
0072A 296 295 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,073 2,060 $10K
99381 409 409 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,836 1,788 $7K
86580 1,365 1,353 $6K
90670 3,255 3,254 $5K
0012A 79 79 $3K
0011A 77 77 $3K
90734 1,427 1,425 $2K
90686 7,629 7,612 $2K
90473 184 183 $2K
90633 3,111 3,107 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 170 167 $1K
90744 1,144 1,144 $1K
90480 65 65 $1K
99174 3,608 3,605 $1K
0003A 30 30 $895.15
90710 2,156 2,154 $760.00
90715 1,217 1,217 $731.67
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 388 381 $568.21
90620 2,169 2,162 $561.34
99383 26 26 $473.18
90656 451 451 $465.58
90474 35 35 $324.11
85018 483 476 $297.44
90674 833 832 $285.97
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 19 19 $216.24
90651 2,694 2,685 $197.38
90716 156 156 $144.00
90672 246 245 $134.40
90680 2,972 2,972 $105.00
3074F 89 89 $97.50
3078F 70 70 $87.50
81025 77 77 $42.09
90698 2,663 2,663 $41.13
81002 71 69 $18.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 102 102 $14.15
G9820 Documentation of a chlamydia screening test with proper follow-up 3,787 3,758 $13.53
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15,008 14,012 $10.00
83655 6,207 6,191 $8.81
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,358 1,357 $6.00
91307 532 482 $1.07
91300 692 625 $0.21
3008F 16,711 15,473 $0.05
3016F 534 534 $0.00
G8482 Influenza immunization administered or previously received 3,891 3,867 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17,076 15,838 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 277 277 $0.00
90671 1,113 1,113 $0.00
90681 99 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) 957 950 $0.00
3725F 2,802 2,801 $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 27 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 42 42 $0.00
90707 69 69 $0.00
91321 31 31 $0.00
90648 12 12 $0.00
91322 12 12 $0.00
90696 907 905 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 180 170 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 198 198 $0.00
1036F 1,718 1,683 $0.00
90619 794 794 $0.00
36416 448 442 $0.00
1000F 1,869 1,809 $0.00
90697 1,308 1,308 $0.00
91301 153 151 $0.00
90381 53 53 $0.00