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NPI 1093825259 · Aliso Viejo, CA · Neurology Physician
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Kenneth Martinez is a neurology physician provider located in Aliso Viejo, California. This profile covers 35 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kenneth Martinez |
| Address | 5 Journey |
| City | Aliso Viejo |
| State | CA |
| ZIP | 92656 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $7.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
35 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 112,050 | $10 | $560.3K |
| 99214 | The 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… | 1,580 | $110 | $167.6K |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 40,730 | $1 | $162.9K |
| 99424 | A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which… | 2,140 | $70 | $147.7K |
| 95937 | The provider performs neuromuscular junction testing by repetitive stimulation of a nerve supplying a muscle to diagnose a patient with a known or suspected disorder of the neuromuscular junction. | 1,100 | $100 | $106K |
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 300 | $220 | $64.2K |
| 64612 | In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles. | 310 | $170 | $51.6K |
| 64616 | The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical… | 360 | $100 | $36.2K |
| 99204 | The 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… | 250 | $140 | $34.8K |
| 64400 | The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches —… | 260 | $120 | $31.5K |
Showing 1–10 of 35
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
35 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 5 | 400 | 7,640 | $1 | $86K |
| 95816 | 107 | 360 | 40 | $280 | $48.9K |
| J0588 | 1 | 40 | 5,800 | $1 | $38.9K |
| 99424 | 2 | 30 | 100 | $70 | $27.9K |
| 99214 | 548 | 37,970 | 120 | $90 | $23.2K |
| 99483 | 83 | 230 | 40 | $210 | $18.3K |
| 64615 | 24 | 220 | 60 | $120 | $14.5K |
| 99215 | 10,813 | 15,360 | 50 | $130 | $14.4K |
| 99213 | 12,332 | 34,660 | 80 | $70 | $13.2K |
| 95937 | 1 | 30 | 80 | $50 | $12.2K |
Showing 1–10 of 35
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per… | 320 | $20 | $6.4K |
| 99214 | The 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… | 330 | $1 | $660 |
| 99424 | A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which… | 220 | $1 | $650 |
| 99215 | The 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… | 30 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 8,089 | 13,300 | 640 | $40 | $169.6K |
| 99215 | The 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… | 3,399 | 4,230 | 210 | $110 | $135K |
| 99424 | A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which… | 12 | 20 | 220 | $10 | $8K |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per… | 1 | 10 | 220 | $10 | $3.2K |
Other providers in the same ZIP code as Kenneth Martinez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ambry Genetics Corporation | CA | Clinical Medical Laboratory | $40.8M | $47.4M |
| Neogenomics Laboratories Inc | CA | Clinical Medical Laboratory | $32.6M | $21.5M |
| Bridge Diagnostics LLC | CA | Clinical Medical Laboratory | $352.5K | $8.5M |
| George Shahinian | CA | Pulmonary Disease Physician | $976.4K | $2.2K |
| Ambika Bhushan | CA | Internal Medicine Physician | $207.8K | $0 |
| Parastou Abedi | CA | Ophthalmology Physician | $190.4K | $15K |
| Vangie Tran | CA | Family Nurse Practitioner | $200K | $0 |
| Maria Criselda Leoncio | CA | Physical Therapist | $194.2K | $0 |
| Mindy Bixby | CA | Neurology Physician | $107.9K | $33.2K |
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