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    OpenPayerNPI Medicare & MedicaidAlan Martin
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    Alan Martin — Billing Profile & Reimbursement Data

    NPI 1083677017 · Tulsa, OK · Rheumatology Physician

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    Alan Martin is a rheumatology physician provider located in Tulsa, Oklahoma. This profile covers 16 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlan Martin
    Address4812 S 109th East Ave
    CityTulsa
    StateOK
    ZIP74146
    TaxonomyRheumatology Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider’s Medicare-focused commercial footprint is heavily concentrated: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) at scale for the data available. The absence of Medicaid activity means analyses of state Medicaid competitiveness or payer diversification are not supported by billed Medicaid claims.

    Revenue is extremely concentrated in biologic drug J‑codes: the top three Medicare codes (J1602, J0129, J3262) account for 74.8% of this provider’s total Medicare revenue. Those three codes specifically generated $497.2K (32.2%) from J1602, $365.5K (23.7%) from J0129, and $292.7K (19.0%) from J3262, indicating the practice’s primary revenue drivers are infused or injected biologic therapies.

    The code mix and services billed are consistent with an infusion/biologics‑focused rheumatology practice: high revenue from J1602, J0129, and J3262 paired with nontrivial administration/infusion codes such as 96413 (310 claims, $25.1K) and 96365 (417 claims, $17.9K) suggest on‑site IV/subcutaneous administration capacity rather than a pure office‑visit practice. The presence of chemotherapy administration codes reported (96413, 96415) further indicates routine procedural infusion workflows and nursing support for extended infusions.

    J1602 (golimumab) is a distinct national outlier for this clinician: it ranks #60 of 1041 providers nationally and is in the 94th percentile, described here as notably above typical national volume. That standing suggests this provider is a high‑volume administrator of J1602 relative to peers and could be a meaningful national contributor for that specific drug.

    Other biologic codes show mixed competitive positions: J0129 (abatacept) generated $365.5K and ranks #435 of 1221 (64th percentile), characterized as typical and unremarkable volume, while J3262 (tocilizumab) produced $292.7K and ranks #118 of 618 (81th percentile) and is described as typical, unremarkable volume despite a relatively higher percentile. J1745 (infliximab) also contributes materially with $210.6K (13.6%) and ranks #147 of 1352 (89th percentile), reinforcing a multi‑biologic infusion strategy across several agents.

    Evaluation & management activity is present but contributes only a small share of revenue relative to drug billing: 99214 produced $43.3K (2.8%) on 515 claims and 99215 produced $41.5K (2.7%) on 352 claims. Notably, 99214 ranks in the 90th percentile and 99215 is in the 97th percentile (described as notably above typical), indicating that while visit revenue is modest versus drug revenue, the practice bills a comparatively high volume of higher‑complexity office visits compared with national peers.

    The provider’s long tenure (NPI enumerated 2006‑04‑10, ~20 years ago) indicates an established presence in the market, which aligns with sustained high volumes for certain J‑codes such as J1602 and the ability to maintain infusion services over time. Longevity combined with the observed code mix suggests operational experience managing biologic infusion workflows and payer reimbursement for specialty drugs.

    From a business and operational risk perspective, dependence on a small number of high‑value J‑codes (top three account for 74.8% of Medicare revenue) creates revenue sensitivity to formulary changes, reimbursement policy shifts, or supply‑chain disruptions for those agents. Analysts should monitor payer coverage policies and competitor activity for J1602, J0129, and J3262 because changes affecting these drugs would disproportionately affect this provider’s Medicare revenue stream.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use45,200$10$497.2K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)10,750$30$365.5K
    J3262Injection, tocilizumab, 1 mg73,180$1$292.7K
    J1745Injection, infliximab, excludes biosimilar, 10 mg8,100$30$210.6K
    99214The provider sees an established 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…520$80$43.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…350$120$41.5K
    J0897Injection, denosumab, 1 mg1,920$20$34.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…310$80$25.1K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.420$40$17.9K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…250$20$4.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129111016,680$30$661.9K
    J326251082,050$1$432.8K
    J160262025,400$10$412.3K
    J17456106,400$30$312.2K
    J089740702,130$20$91.2K
    964132160210$90$26.4K
    992148025,560130$70$18.4K
    992133,1075,45080$50$8.7K
    99215381,31040$110$8.2K
    9636588060$40$6.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tulsa Bone & Joint Associates PCOKOrthopaedic Surgery Physician$0$3M
    William SurbeckOKRheumatology Physician$1.8M$0
    Mindy EwertOKPhysician Assistant$1.1M$0
    Lindsay CunninghamOKRheumatology Physician$502.1K$0
    James SlaterOKAdult Reconstructive Orthopaedic Surgery Physician$352.3K$0
    Justin ReidOKAdult Reconstructive Orthopaedic Surgery Physician$335.5K$0
    Christopher MartinOKPain Medicine (Physical Medicine & Rehabilitation) Physician$311.7K$0
    Hayley SewellOKPhysician Assistant$310.7K$0
    Caleb NunleyOKSports Medicine (Family Medicine) Physician$303.3K$0
    Brian LovelaceOKOrthopaedic Surgery Physician$302.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Option 1 Nutrition Solutions LLCOKDurable Medical Equipment & Medical Supplies$0$18.8M
    Regional Medical Laboratory, IncOKClinical Medical Laboratory$0$17.6M
    Labcorp Oklahoma, Inc.OKClinical Medical Laboratory$6.8M$7.8M
    Access Pain SolutionsOKPain Medicine Physician$0$13.1M
    Osu Center For Health SciencesOKMedical Specialty Clinic/Center$0$10.5M
    Advanced Pediatric CareOKDurable Medical Equipment & Medical Supplies$0$4.9M
    Asm LLCOKCustomized Equipment (DME)$0$4.7M
    Pathology Laboratory Associates, Inc.OKAnatomic Pathology & Clinical Pathology Physician$22.2K$3.9M
    Sleep Management, L.L.C.OKOxygen Equipment & Supplies (DME)$0$3.6M
    Ocean Dental, P.C.OKGeneral Practice Dentistry$0$3M

    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. Oklahoma Distribution
    Alan Martin — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma