Mildred Martinez
Total Paid
$143K
$143,435
Total Claims
2,845
Beneficiaries
773
3.7 claims/patient
Avg Cost/Claim
$50
🔍 Analysis
Provider Overview
Mildred Martinez is a Nurse Practitioner, Gerontology provider based in Henderson, NV. From 2018-02 through 2018-11, this provider received $143K in Medicaid payments across 3K claims serving 773 beneficiaries, billing 5 distinct procedure codes.
Key Findings
- 📊Bills 3.4× the national median for 99309 (99309), at $48 per claim vs. the median of $14. This places them well above the 99th percentile nationally.
- 📊78% of billing is concentrated in 99309 (99309), indicating significant specialization in this service.
- 📊Billing stopped in 2018-11, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 78% of total spending.
$112K
2,354 claims
$47.61
$14.00
Nursing facility care, subsequent, low complexity
$112K
2,354 claims · 78.1%
$14K
193 claims · 9.9%
$8K
153 claims · 5.9%
$5K
48 claims
$100.41
$67.32
Initial hospital care, per day, high complexity
$5K
48 claims · 3.4%
$4K
97 claims
$40.53
$35.30
Subsequent hospital care, per day, high complexity
$4K
97 claims · 2.7%