Physician
San Martin Medical , PLLC
San Martin Medical , PLLC was paid $392K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoSAN MARTIN MEDICAL , PLLC
ROCKY POINT, NC 28457
ROCKY POINT, NC 28457
33aNPI1992093546assigned 07/18/2011
33bProvider typeFamily Medicine Physician
28Total paid$392K
24GClaims22,016
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#313 of 960
Median peer was paid$135K
This provider vs. median2.9×
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 | 861 | $44K | |
| 2019 | 1,253 | $70K | |
| 2020 | 1,537 | $85K | |
| 2021 | 2,280 | $80K | |
| 2022 | 3,730 | $47K | |
| 2023 | 8,078 | $44K | |
| 2024incomplete | 4,277 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 64% | 3,676 | 2,649 | $253K |
| 99199 | Unlisted special service, procedure or report | 22% | 16,540 | 7,291 | $84K |
| 99336 | 9.3% | 606 | 573 | $37K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 371 | 287 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 57 | 42 | $7K |
| 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% | 35 | 29 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 403 | 308 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 284 | 219 | $297.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | 18 | $267.12 |
| 99490 | Ccm add 20min | <1% | 17 | 16 | $105.30 |
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 officialVALDIVIA, RICARDO (OWNER)