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    OpenPayerNPI Medicare & MedicaidDerek Martinez
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    Derek Martinez — Billing Profile & Reimbursement Data

    NPI 1043506942 · Peoria, IL · Neurological Surgery Physician

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    Derek Martinez is a neurological surgery physician provider located in Peoria, Illinois. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDerek Martinez
    Address530 Ne Glen Oak Ave
    CityPeoria
    StateIL
    ZIP61637
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 20, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$54.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61886The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on…30$550$17.5K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,170$14K
    63005This procedure is laminectomy of one or two lumbar vertebral segments with exploration and/or decompression of the spinal cord and/or cauda equina. This procedure does not contain a facetectomy,…10$680$7.5K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$650$7.2K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$160$4.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…20$100$2.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$60$990
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…20$50$800

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22551243010$1,130$19.2K
    6304712114020$610$14.6K
    6188621020$600$13.7K
    6300521010$780$9.3K
    9921316,03617,39070$60$8.8K
    228538213030$160$6K
    992045,3768,58030$110$5.6K
    992034,6116,15030$70$3.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Derek Martinez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$59.2M
    St Luke's Clinic LLCIDFamily Medicine Physician$0$39.5M
    St Lukes Regional Medical CenterIDGeneral Acute Care Hospital$0$25.1M
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$6.9M
    St Lukes Clinic-treasure Valley LLCORRural Health Clinic/Center$0$2.1M
    St Luke's Regional Medical CenterIDHome Health Agency$0$1.6M
    Peter CastellanosIDNeurology with Special Qualifications in Child Neurology Physician$0$599.5K
    David McnaulMODiagnostic Radiology Physician$269.4K$0
    Benjamin BridgesMDHematology & Oncology Physician$248.9K$0
    Sarah BolenderIDRadiation Oncology Physician$245.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Derek Martinez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Medical CenterILGeneral Acute Care Hospital$0$7.3M
    Manuel DoriaILAnatomic Pathology & Clinical Pathology Physician$117.7K$2.3M
    Janeen BuonaccorsiILAnatomic Pathology & Clinical Pathology Physician$88.5K$2.1M
    Galen KesslerILAnatomic Pathology & Clinical Pathology Physician$106K$2M
    Hamid ZiaILAnatomic Pathology & Clinical Pathology Physician$67.6K$1.8M
    William DunnILRadiation Oncology Physician$1.1M$0
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Blake CohenILDiagnostic Radiology Physician$100.7K$523.9K
    Kyle BertrandILDiagnostic Radiology Physician$94.8K$393.5K
    Kelly SkenderILCritical Care Pediatric Nurse Practitioner$483.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Derek Martinez — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois