Physician
Rocha, Martin
Rocha, Martin was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoROCHA, MARTIN
LAKE ARROWHEAD, CA 92321
LAKE ARROWHEAD, CA 92321
33aNPI1962435586assigned 07/08/2006
33bProvider typePediatrics Physician
28Total paid$1.85M
24GClaims23,912
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#79 of 1,490
Median peer was paid$15K
This provider vs. median123×
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 | 3,987 | $360K | |
| 2019 | 3,834 | $344K | |
| 2020 | 2,674 | $264K | |
| 2021 | 3,199 | $340K | |
| 2022 | 2,499 | $161K | |
| 2023 | 4,312 | $195K | |
| 2024incomplete | 3,407 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 20,006 | 16,308 | $1.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 1,342 | 1,129 | $35K |
| 97803 | 0% | 792 | 791 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 235 | 234 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 193 | 193 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 196 | 196 | $0.00 |
| 99408 | 0% | 223 | 223 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 149 | 149 | $0.00 |
| 90734 | 0% | 28 | 28 | $0.00 | |
| 90715 | 0% | 12 | 12 | $0.00 | |
| 90651 | 0% | 48 | 48 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 556 | 556 | $0.00 |
3 more codes
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.