Physician
Martinez, Virginia
Martinez, Virginia was paid $15K by Medicaid between Jan 2018 and Nov 2018, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoMARTINEZ, VIRGINIA
DARIEN, CT 06820
DARIEN, CT 06820
33aNPI1972535771assigned 07/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims1,925
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#85 of 139
Median peer was paid$35K
This provider vs. median0.4×
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
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 | 1,925 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 239 | 228 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 36% | 208 | 185 | $5K |
| 90688 | 1.4% | 14 | 14 | $200.72 | |
| 99401 | 1.2% | 28 | 27 | $176.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 13 | 13 | $158.76 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 13 | 13 | $10.56 |
| A4930 | Gloves, sterile, per pair | <1% | 13 | 12 | $4.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 236 | 208 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 81 | 69 | $0.00 |
| 1160F | 0% | 75 | 66 | $0.00 | |
| 1002F | 0% | 13 | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 155 | 137 | $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.